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, 1 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 05/16/2025

Corrected Corrected by May 16, 2025

Category: ratio. Marked corrected in the state record.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through staff member statements that they observed another staff member pick a child up by one arm, pull a child across floor by arm and squeeze a child's face to have them take a bottle. Correction: Immediately ensure that staff members are handling children appropriately. Submit statement of compliance. Correct by 12/20/2024

Corrected Corrected by Dec 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.

Identified through staff member statement that another staff member would not intervene or help children that FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ were needing help in the classroom. Correction: Immediately ensure that all staff members are actively caring for the children in their care. Submit statement of compliance. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Marked corrected in the state record.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through staff member statements that they observed another staff member pick a child up by one arm, pull a child across floor by arm and squeeze a child's face. These weren't reported to the county. Correction: Immediately ensure that possible abuse or neglect is reported to the county. Submit statement of compliance. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 member statements and review of attendance verification that classrooms are out of ratio before a second staff member arrives at times in the morning. Identified through staff member statement that on 12/17/24 they were alone with 7 children for a few minutes when other staff member left the classroom. Correction: Immediately ensure that staff to child ratio is maintained at all times. Submit statement of compliance. Correct by 12/20/2024 ________________________________________________

Corrected Corrected by Dec 20, 2024

Category: ratio. Marked corrected in the state record.