2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 1 child file, file lacking current emergency medical authorization. Correction: Immediately review all child files, ensure that all have documentation of current emergency medical authorization. Submit statement of compliance. Correct by 06/24/2025

Corrected Corrected by Jun 24, 2025

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

2.209.A.8 · 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:Written authorization, obtained in advance of the event from a parent/guardian, for a child to participate in field trips or special activities, whether scheduled or unscheduled, whether walking or riding in an approved vehicle;

Reviewed 1 child file, file lacking documentation of field trip authorization. Correction: Immediately review all child files, ensure that all have documentation of field trip authorization. Submit statement of compliance. Correct by 06/24/2025 ________________________________________________ Stage II Licensing Concern : RP stated that CH1said that a teacher has a belt to discipline the kids with. - UNFOUNDED ________________________________________________

Corrected Corrected by Jun 24, 2025

Category: transportation. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 1 child file, file lacking documentation of current health statement. Correction: Review all child files, ensure that all have documentation of current health statements. Submit statement of compliance. Correct by 07/01/2025 ________________________________________________ Stage II Licensing Concern : RP states that CH1 stated that SM1 inappropriately touched CH1 during nap time. - UNFOUNDED Stage II Licensing Concern : SM2 stated that on day in question (4/14/25) they weren't sure which staff members were in the classroom to give SM1 and SM3 their breaks. - UNFOUNDED ________________________________________________

Corrected Corrected by Jul 1, 2025

Category: ratio. Marked corrected in the state record.

2.223.D.5.a · If preschool-age children are in care for longer than five (5) hours, the center must provide at least a thirty (30) minute rest period meeting the following: A firm cot or two (2) inch mat with a sheet and blanket, or other suitable covering, must be provided for each child;

Eight children in Dragonflies classroom lacking sheets on their mats. Correction: Immediately ensure that all children have a sheet and a blanket with their mat. Submit statement of compliance. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

Marked corrected in the state record.

2.218.C.1 · The admission of children who have special health care needs, disabilities, or developmental delays which includes children with social emotional and behavioral needs must be in alignment with the training and ability of staff and in compliance with the Americans with Disabilities Act. Services offered must show that a reasonable effort is made to accommodate the child's needs and to integrate the child with other children. (See rule section 2.119 of the General Rules Regulating Child Care Facilities) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through staff member statement that child in Zoo Crew classroom has "special needs". Reviewed the child's file and observed no documentation of this information in their admission record and no documentation showing how this child's needs are being accommodated. Correction: Immediately ensure that children who have special health care needs, disabilities or developmental delays must be in compliance with the American with Disabilities Act to integrate with other children. Submit a statement of compliance. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

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

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Sharp teacher scissors accessible to children in unlatched drawer in Noah's Ark classroom. Correction: Immediately ensure that all sharp scissors are inaccessible to children at all times. Submit statement of compliance. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

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.

Reviewed 10 child files, 6 files lacking documentation of current health statements. Correction: Review all child files and ensure that all have documentation of current health statements. Submit statement of compliance. Correct by 03/27/2025

Corrected Corrected by Mar 27, 2025

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 10 child files, 2 files lacking documentation of immunization status, 1 file needs records transferred to a department approved form. Correction: Immediately review all child files, ensure that all have documentation of immunization status. Submit statement of compliance. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

Category: health medication. 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 10 child files, 4 files lacking documentation of current emergency medical authorization. Correction: Immediately review all child files and ensure that all have documentation of current emergency medical authorization. Submit statement of compliance. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

Category: health medication. 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.

Reviewed 10 staff member files, 4 staff members lacking documentation of child development training. (Hannah, Charisma, Brody, Destiny) Correction: Review all staff member files and ensure that all have documentation of child development training. Submit

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Reviewed 10 staff member files, 1 staff member lacking documentation of first aid and CPR certification or module. (Lauren) Correction: Immediately review all staff member files and ensure that all have documentation of first aid and CPR module if they are not required to have their certification. Submit statement of compliance. Correct by 02/27/2025

Corrected Corrected by Feb 27, 2025

Marked corrected in the state record.

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Staff members did not observe an incident where a child was touched inappropriately by another child. Staff member stated they believed that it happened during circle time when children were building with blocks on the rug and SM was working on something at the table nearby. Correction: Immediately ensure that all children are under the direct supervision of a staff member at all times. Correct by 12/09/2024 ________________________________________________

Corrected Corrected by Dec 9, 2024

Category: supervision. Marked corrected in the state record.

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

Soap being used to fill all soap containers is labeled "keep out of reach of children". Correction: Immediately ensure that items labeled "keep out of reach of children" are inaccessible at all times. Submit statement of compliance. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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.

One staff member on phone texting while on the playground with children. Correction: Immediately ensure that all staff refrain from the personal use of electronics. Submit statement of compliance. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

Identified through staff members' statements and review of name to face documents from past 10 days that FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ classrooms are not within ratio on multiple days in the mornings. 8/17/24 - 1:13 Dragonflies and Mighty Lions @ 8:00am, 8/19/24 - 1:19 Dragonflies @ 9:00 am, 8/20/24 1:18 Dragonflies @ 9:00am, 8/21/24 1:19 Dragonflies @ 9:00am, 8/27/24 2:25 in Noah's Ark @ 8:00am. Correction: Immediately ensure staff to child ratio is maintained at all times. Submit statement of compliance. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

Category: ratio. 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.

Identified through staff members' statements that there was a group of 25 children ages 3-4 years in Zoo Crew classroom on 8/27/24. Correction: Immediately ensure that maximum group size is maintained at all times. Submit statement of compliance. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

Category: ratio. Marked corrected in the state record.

2.223.D.4.b · Sleeping cots and mats must be of firm construction and in good repair.

Torn sleeping mats in Zoo Crew classroom. Correction: Immediately ensure that all sleeping mats are in good repair in the classrooms. Submit statement of

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

Broken toilet paper dispenser in bathroom of dragonflies classroom has sharp edges. Correction: Immediately ensure that building is in good repair and maintained at all times. Submit statement of compliance. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

Marked corrected in the state record.

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

Staff members not working with CH1 not aware of health care plan. Correction: Immediately ensure that all staff members are aware of all children's health care plans. Submit statement of compliance. Correct by 08/28/2024 ________________________________________________

Corrected Corrected by Aug 28, 2024

Category: supervision. 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.

Small clothespin clips are part of display in Toddler age classroom. Correction: Immediately ensure that items that could be possible choke hazards are not accessible in classroom with children under 3 years of age present. Submit statement of compliance. Correct by 08/28/2024

Corrected Corrected by Aug 28, 2024

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

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

A child was in the kitchen due to having behavior issues in the classroom. Correction: Immediately ensure that the kitchen is inaccessible to children at all times. Submit statement of compliance. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

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

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

Completed a review of face to name for opening on 5/15/24. There was 1 staff member with 13 children (1 infant age child, 2 toddler age children, 10 preschool age children). Correction: Immediately ensure that appropriate staff to child ratios are maintained at all times. Submit statement of

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

Completed a review of face to name for opening on 5/15/24. There was 1 staff member with 13 children (1 infant age child, 2 toddler age children, 10 preschool age children). Correction: Immediately ensure that appropriate maximum group size is maintained at all times. Submit statement of compliance. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.2 · For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2) present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty.

Completed a review of face to name for opening on 5/15/24. There was 1 staff member alone in the building until the second and third staff members arrived at 7:15am. The ninth child arrived at 6:55am. The staff member was alone with 1 infant age child, 2 toddler age children, 10 preschool age children. Correction: Immediately ensure that when nine or more children are in attendance at least two staff members are on duty. Submit statement of compliance. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

Marked corrected in the state record.

2.223.D.4.b · Sleeping cots and mats must be of firm construction and in good repair.

Sleeping mats in Noah's Ark classroom are ripped and torn. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that all mats in the building are in good repair. Submit statement of compliance. Correct by 05/20/2024 ________________________________________________

Corrected Corrected by May 20, 2024

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

2.209.A · 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:

Requested 1 child file, child file not available for review. Identified through assistant director that child started 5/16/24. Correction: Immediately ensure that an admission record is completed and available for review for each child prior to or at the time of the child's admission. Submit statement of compliance. Correct by 05/20/2024

Corrected Corrected by May 20, 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.

Two staff member purses accessible to children in Zoo Crew classroom. Correction: Immediately ensure that staff member purses are not accessible to children. **Corrected at the time of visit. No response required. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

Marked corrected in the state record.

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.

Staff member in Noah's Ark classroom did not know how many children were present. Correction: Immediately ensure that staff members are aware of how many children are in their care. Submit statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

At time of arrival there were 16 one and two year old children with 2 staff member. Correction: Immediately ensure that ratio is maintained at all times. Submit statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

Category: ratio. 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.

At time of arrival there were 16 one and two year old children with 2 staff member. Correction: Immediately ensure that maximum group size is maintained at all times. Submit statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

Category: ratio. Marked corrected in the state record.

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

The following medications were expired: (Tylenol -2, Motrin, Epi Pen). Correction: Immediately ensure that medication that is out of date is returned to parent/guardian or disposed of with CCHC. Submit statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 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.

Staff member bathroom accessible to children having lotion labeled "keep out of reach of children", storage room accessible to children having cleaning supplies labeled "keep out of reach of children". Correction: Immediately ensure that all items labeled "keep out of reach of children" are inaccessible at all times. Submit statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Small google eyes that could be a choke hazard on art work in Joyful Noise classroom with children under 3 years of age present. Correction: Immediately ensure that items that could be a choke hazard are inaccessible to children at all times. **Corrected at the time of visit. No response required. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

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

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

Napping mats torn in Noah's Ark, Joyful Noise and Zoo Crew classrooms. Correction: Immediately ensure that nap mats are in good condition with a surface that can be cleaned. Submit statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

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

2.236.A.1 · If the office space is accessible to children, it must be free of hazards.

Office space accessible to children with teacher scissors and glass vase. Correction: Immediately ensure that if the office space is accessible to children it is free of hazards. **Corrected at the time of visit. No response required. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

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

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

Kitchen accessible to children. Correction: Immediately ensure that the kitchen is not accessible to children. Submit statement of compliance. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

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

2.208.A.4 · The following records must be on file at the center: A record of visitors to the center.

Reviewed visitor log which is available at the front desk, special activity sports director does not consistently sign in/out. Correction: Immediately ensure that all visitors are completing visitor log each time. Submit statement of compliance. Correct by 01/10/2024

Corrected Corrected by Jan 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 2 children files, 1 file lacking documentation of child's health statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Review all children files and ensure that all have documentation of child's health statement. Submit statement of compliance. Correct by 02/10/2024 ________________________________________________

Corrected Corrected by Feb 10, 2024

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