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.

A child with an identified health care need while at the center did not have an accompanying health care plan outlining all required responsibilities and interventions. Correction: Prior to starting children with identified health care needs must have a department-approved health care plan authorized by their health care provider. Correct by 12/16/2024

Corrected Corrected by Dec 16, 2024

Category: supervision. 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.

Two (2) out of eight (8) child files were missing or did not have a signature from the health care provider on their physicals. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Health statements must be submitted within thirty (30) days with a signature from a health care provider. Correct by 01/15/2025

Corrected Corrected by Jan 15, 2025

Category: ratio. Marked corrected in the state record.

2.216.B.1.b.2 · An infant program early childhood teacher must meet the following requirements: Has a minimum three (3) months (455 hours) of verifiable experience in the care and supervision of children under three (3) years of age.

Victoria was working alone as the infant program early childhood teacher in Infant 1 during the inspection. Her hours letter stated she only has 340 verifiable hours working with children under the age of 3. This is a direct violation of stipulation H of the probationary license, "All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times." Correction: An infant program early childhood teacher must have a minimum of three (3) months verifiable experience in caring for children less than 3 years of age. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: supervision. Marked corrected in the state record.

2.216.B.2.a · In the infant program, there must be a qualified infant program supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual qualified as an infant early childhood teacher must be responsible during the remaining time.

Based on staff interviews, Makayla M. is the qualified infant program supervisor but has been promoted to a new role that does not keep her in the infant room 60% of everyday. Licensing specialist reviewed the daily name to face sheets and at the time of inspection she had only had been in infants 2 hours and was assigned other breaks throughout the building for the rest of the day. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The infant program supervisor must be present in the infant room at least 60% of everyday. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: supervision. 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.

Two (2) out of ten (10) child files were missing or had immunization records not record as required by CDPHE. Correction: Immunization records must be provided to the center prior to the child's first day of attendance and recorded as required by CDPHE. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Four (4) child files for children under the age of two (2) years were not updated as required by AAP guidelines. Correction: Health statements for children less than two (2) years of age must be updated in accordance with AAP guidelines. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

Category: health medication. 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.

An emergency medication for an enrolled child had expired 8/2024 and had not yet been returned to the parent or disposed of. Correction: Out of date medication must be picked up by parents or disposed of as required by CDPHE. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

Observed an infant 11 months of age laying flat on their back, on the floor holding their own bottle in the Infant 3 room. Correction: Older infants must not be allowed to hold their own bottles while lying flat. Correct by 11/19/2024

Corrected Corrected by Nov 19, 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.

While in the Toddler 3 classroom observed up to four (4) children at different times strapped into toddler chairs attempting to walk around the classroom with the chairs attached to their back side, which could cause a potential injury to the child. Staff members did not intervene and unstrap the children. Correction: Staff must make knowledgeable decision making for the well-being of children. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

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.

Olga P., was hired 7/31/2024, and the physical submitted to the center was dated 11/14/2023, which is more than six months prior to their employment. Correction: Staff must submit a statement of health that is dated no more than six (6) months prior to their employment

Open Not marked corrected in the state record

Category: health medication. 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

Jessica B., Teresa B., and Ariella B., did not have a signed statement indicting they have read and been trained on the center's administration of medication policies. Correction: Staff must read and be trained on the center's policy for administering medication prior to working with children. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Category: ratio. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

One (1) child file for a child under two (2) years of age reviewed was missing a 15 month well-child check as required by their pediatrician. Correction: Statement of health for children less than two (2) years of age must be updated as required by their health care professional and the AAP guidelines. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

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.

A child in the Toddler 3 classroom was observed to be trying to stand up from the table while strapped into a chair. When SM2 saw CH1 try to get up they forcefully put the chair on the floor and aggressively pushed CH1 into the table telling them they could not get up. On a second occasion during the inspection LS observed SM2 take a stuffed toy FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ out of another child's hand quickly, and harshly causing the child to fall down and cry. Correction: Guidance at the center must be appropriate to the development of the child. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Marked corrected in the state record.

2.225.H · Any form of restraint is not permitted.

Upon entering the Toddler 3 classroom at 10:45AM LS observed all eight (8) children in care sitting at two (2) tables in toddler chairs with straps. Each child was strapped in and unable to move from the table. Children were observed to not have any activities as the staff were preparing the art project. During the time LS was in the classroom several children tried to get up and walk away from the table and were denied, requiring them to sit at the table with nothing to do. LS left the room at 10:50AM and returned again at 11:10AM to observe four (4) children still sitting at the table, two (2) were strapped in and two (2) were not. Correction: Any form of restraint is not permitted. Correct by 10/23/2024

Corrected Corrected by Oct 23, 2024

Marked corrected in the state record.

2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

An infant who is five (5) months old was laying flat on the floor while the teacher was feeding them their bottle. Correction: Infants less that six (6) months of age must be held for bottle feeding. Correct by 08/12/2024

Corrected Corrected by Aug 12, 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 in the Preschool room where unaware of if any children in their care had any special health care needs, allergies, or medications. Correction: Staff must be knowledgeable of the children in their care to ensure proper care and well-being. Correct by 08/12/2024

Corrected Corrected by Aug 12, 2024

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

2.216.B.2.a · In the infant program, there must be a qualified infant program supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual qualified as an infant early childhood teacher must be responsible during the remaining time.

Tahkalah W., was listed at the Infant program supervisor for the day but did not meet the qualifications for that role. Correction: There must be a qualified infant program supervisor in the infant room at least sixty (60%) of every day. Correct by 08/12/2024

Corrected Corrected by Aug 12, 2024

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

One (1) out two (2) child files checked did not have a doctors signature on their physical. The second file was missing a date on their physical. Correction: Health statements must be obtained annually, and they must be signed and dated by a health care professional. Correct by 09/11/2024

Corrected Corrected by Sep 11, 2024

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;

None of the children in Pre-K had sheets on their cots. Correction: Immediately ensure that each child is provided with a sheet and blanket during nap time. Provide statement of compliance by 4/8/2024. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

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 mesh cozy corner pod was observed in the School-age room to have a large rip in the back causing a potential hazard to children who use the cozy corner pod. Correction: Immediately ensure that indoor materials are safe and free of hazard. Provide statement of compliance by 4/8/2024. Correct by 04/01/2024

Corrected Corrected by Apr 1, 2024

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

2.138.B · Drills must be held at unexpected times and under varying conditions to simulate the conditions of an actual fire or other emergency event.

A review of the drill logs determined that all fire drills completed in the last twelve (12) months were done between 9:30AM and 10:45AM. Correction: Immediately ensure that drills are held at unexpected and varying times. Provide statement of compliance by 3/26/2024. Correct by 03/19/2024

Corrected Corrected by Mar 19, 2024

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

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

Through a review of Child Supervision Records (CSR) Infant B had nine children from 9:49-10:55 on 3/12/2024. Infant B had ten children from 10:13-3:36 on 3/13/2024. Infant B had nine children from 9:25-10:50 on 3/19/2024. The classroom is only licensed for eight (8) children. Correction: Immediately ensure the licensed room capacity is not exceeded at anytime. Provide statement of compliance by 3/26/2024. Correct by 03/19/2024

Corrected Corrected by Mar 19, 2024

Category: supervision. 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.

Fire drills were not completed in February 2024. Correction: Immediately ensure that fire drills are completed monthly. Provide statement of compliance by 3/26/2024. Correct by 03/19/2024

Corrected Corrected by Mar 19, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Through staff interviews it was determined that SM1 has been observed to grab children by the face, grab their arms harshly and pull them away from activities. Correction: Immediately ensure that children are not subjected to physical harm. Provide statement of compliance by 3/26/2024. Correct by 03/19/2024

Corrected Corrected by Mar 19, 2024

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.

Caustina M. had CPR/First Aid training from a vendor that is not approved by the department. Correction: Ensure within thirty (30) days of hire staff not required to be certified in CPR/First Aid complete a Department approved module for CPR and First Aid. Provide documentation and statement of compliance by 3/10/2024. Correct by 03/10/2024

Corrected Corrected by Mar 10, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The sidewalks and walkway into the building from the parking lot was covered in snow and ice. Correction: Immediately ensure that buildings are maintained in a safe condition at all times. Provide statement of compliance by 3/10/2024. Correct by 02/09/2024

Corrected Corrected by Feb 9, 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, 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;

Three (3) out of ten (10) child files had expired authorization for emergency medical. Correction: Immediately ensure that written authorization for emergency medical care is updated annually. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

2.216.A.1.e · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:A current early childhood professional credential level II or higher in version 3.0 as determined by the Department;

Stella A. had an affidavit in her file indicating she was ECT qualified signed and dated 11/10/2022. Upon review of her PDIS an application for her Credential level has not been submitted. Stella A. was observed working alone in the Pre-K room during the inspection. This is a violation of Stipulations I and D: I. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ education and experience qualifications. Verification of staff qualifications must be available for review at all times. D. All children must be under the direct and active supervision of qualified staff at all times, both indoors and outside. There must be at least one qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. Correction: Immediately ensure that children are directly supervised by a qualified adult and that staff who utilized the affidavit system has submitted for their credential level. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: supervision. 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.

Makayla H., had an expired health statement, and Karissa B. did not have a health statement in her file. Correction: Ensure that within thirty (30) days of hire staff submit a health statement, and annually update them. Provide statement of compliance by 2/17/2024. Correct by 02/17/2024

Corrected Corrected by Feb 17, 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.

Stella A. and Debbie H. both has expired Standard Precautions training. This is a violation of Stipulation J of the probationary license: J. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Immediately ensure prior to working with children and annually staff complete a Department-approved Standard Precautions training. Provide documentation and statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: ratio. 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.

Makayla H. the Infant Supervisor had expired Safe Sleep training. This is a violation of Stipulation J of the probationary license: J. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Immediately ensure that prior to working with children and annually any staff working with infants complete a Department-approved Infant Safe Sleep training. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: supervision. 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.

Makayla H. had expired Shaken Baby/Abusive Head Trauma training. This is a violation of Stipulation J of the probationary license: J. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training must be available for review at all times. Correction: Immediately ensure prior to working with children and every two (2) years staff complete a Department-approved Shaken Baby/Abusive Head Trauma training. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: ratio. 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.

Makayla H. had an expired CPR and First Aid training but did not complete a Department-approved Introduction to First Aid and CPR module. This is a violation of Stipulation J of the probationary license: J. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Ensure that staff not required by rule to be CPR certified complete a Department-approved Introduction to First Aid and CPR module. Provide statement of compliance by 2/17/2024. Correct by 02/17/2024

Corrected Corrected by Feb 17, 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 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:

Through staff statements and name to face verification sheets it was determined there were 11 infants in Infant Room 3 from 9:43AM to 9:57AM. Additionally, upon arrival there were seventeen (17) toddlers in the gym with two (2) staff. Between 8:59 - 9:30 there were 14 children in the Toddler 2 Room. This is a violation of stipulation B: Licensee must strictly adhere to required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom. The licensed room capacity must not be exceeded at any time. Correction: Immediately ensure that the staff to child ratio for each age group is being maintained. Provide statement of compliance within 24 hours. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: ratio. 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.

Stella A. and Debbie H. had expired training about child abuse prevention. This is a violation of Stipulation J of the probationary license: J. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Immediately ensure that annually staff complete a Department-approved child abuse prevention training. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: ratio. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Karissa B. did not have proof of a completed Introduction to Early Intervention and Preschool Special Education training. This is a violation of Stipulation J of the probationary license: J. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Ensure within ninety (90) days of hire all staff complete a Department-approved training; Introduction to Early Intervention and Preschool Special Education training. Provide statement of compliance by 2/17/2024. Correct by 02/17/2024

Corrected Corrected by Feb 17, 2024

Category: ratio. 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.

Karissa B. and Stella A. did not have a one (1) hour child development training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This is a violation of Stipulation J of the probationary license: J. Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Ensure that within ninety (90) days all staff have at least one (1) hour of child development training. Provide statement of compliance by 2/17/2024. Correct by 02/17/2024

Corrected Corrected by Feb 17, 2024

Category: ratio. Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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:

Karissa B. was working alone in Discovery Preschool 1, and had not yet submitted for her out of state clearance letter. This is a direct violation of Stipulation K of the probationary license. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks must be maintained in the staff file at all times. Correction: Immediately ensure that any staff not fully background checked are not left alone with children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Karissa B. had reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check Clearance Letter for Karissa B. with written response to Specialist. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

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

The max group size for infants was over by 1 infant in the Infant 3 room from 9:43-9:57AM. The max group size for toddlers was over by 3 children in the gym upon arrival. The max group size for the Toddler 1 room was over by 4 children from 8:59 - 9:30AM. This is a violation of stipulation C: Licensee must strictly adhere to required maximum group sizes at all times, including when combining age groups at permitted times prescribed in rule. Correction: Immediately ensure the max group size for each age group is being maintained. Provide statement of compliance within 24 hours. Correct by 01/18/2024

Corrected Corrected by Jan 18, 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 Infant 3 room is licensed for 10 children, but was observed through staff statements and the name to face verification that 11 children were present in that room from 9:43AM-9:57AM. The licensed capacity for Toddler 2 is 10 children, but was observed through staff statements and the name to face verification sheet they have 14 children from 8:59-9:30AM. This is a violation of stipulation B: Licensee must strictly adhere to required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom. The licensed room capacity must not be exceeded at any time. Correction: Immediately ensure that the licensed room capacity is never exceeded at any time. Provide statement of compliance within 24 hours. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

Observed Karissa B. alone in Discovery Preschool 1. Observed Stella A. alone in Pre-K,. Observed Debbie H., the cook, walking with a toddler in the hallways alone. Licensing specialist was unable to locate ECT qualifications for any of those three (3) staff members. This is a violation of stipulations D & I: D: D. All children must be under the direct and active supervision of qualified staff at all times, both indoors and outside. There must be at least one qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. I: All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ education and experience qualifications. Verification of staff qualifications must be available for review at all times. Correction: Immediately ensure there is at least one (1) qualified early childhood teacher supervising each group of children. Provide statement of compliance within 24 hours. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: supervision. 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.

Four (4) out of ten (10) child files were missing their immunization records. Correction: Immediately ensure that prior to the first day of admission the center obtains a CDPHE approved immunization record for children in care. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 ten (10) child files had expired health statements. Correction: Ensure within thirty (30) days of expiration parents submit an updated health statement for their child in care. Provide statement of compliance by 2/17/2024. Correct by 02/17/2024

Corrected Corrected by Feb 17, 2024

Category: ratio. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Four (4) out of ten (10) child files for children under the age of two (2) were not updated as required by AAP. Correction: Ensure that health statements are being obtained from parents as required by the American Academy of Pediatrics for children under the age of two (2). Provide statement of compliance by 2/17/2024. Correct by 02/17/2024

Corrected Corrected by Feb 17, 2024

Category: health medication. 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.

According to the name to face verification sheet a name to face was not completed for the 8AM and 10AM hour in the Toddler 2 room. This is a violation of stipulation E: Licensee will use a name-to-face attendance verification tool (paper or electronic form) and complete attendance verification for all transitions and at frequent intervals throughout the day. Licensee shall provide training for all staff on how to use the attendance verification tool and must maintain verification of the training in each employee’s staff file. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure that periodic written attendance is being completed as specified on the name to face sheet. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.A.3 · Staff must be awake, alert, and actively supervising all children.

Observed Stella in Pre-K sitting down at a chair doing work, when several of the children in care were playing behind her, Stella did not position herself so that she could actively supervise all the children in the classroom. Observed three separate classrooms enter the gym during the course of my visit. Observed both teachers from each class sit down at the table together in the corner of the gym. None of the staff were actively supervising the children playing. This is a violation of stipulation D: All children must be under the direct and active supervision of qualified staff at all times, both indoors and outside. There must be at least one qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. Correction: Immediately ensure staff are actively supervising all children at all times. Provide statement of compliance by 2/17/2024. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: supervision. Marked corrected in the state record.

7.702.71.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.

In infant room #3 a photo of a Christmas tree and a menorah with small velcro stickers to potentially cause a choking hazard. This is a direct violation stipulation L which states Hazardous items, including items, including labeled "Keep out of reach of children" must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Ensure all choking hazards to be inaccessible to children less than three (3) years of age. Toys, toy parts, furnishings, equipment, and materials accessible to children less than three years of age must not be a choke hazard or able to be inhaled. Correct immediately. **CORRECTED AT THE TIME OF INSPECTION** staff removed the photo of the Christmas tree and the menorah with the velcro stickers from the room making it inaccessible to the children, 12/7/2023.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Protruding bolts with more than 2 threads exposed to be accessible to children on the benches for the playground of the 3 and 4 yrs old. Correction: Secure the protruding bolts so no more than two threads are showing. Correct immediately or before children have access to the benches. Document compliance to the Licensing Specialist with the written response. Correct by 12/07/2023

Corrected Corrected by Dec 7, 2023

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

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

The following rooms to have "keep out of reach of children" items to be accessible to children: pre-k (four cans of foam paint), pre-K2 (hand sanitizer pump). This is a direct violation stipulation L which states Hazardous items, including items labeled "Keep out of reach of children" must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Ensure that all items labeled " "keep out of reach of children" must be inaccessible to children. Correct Immediately. CORRECTED AT TIME OF VISIT, Director removed all the items, and placed them in lock cabinets. No further action needed. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.702.71.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.

In toddler room #2 the sensory table to have small fabric leaves to potentially cause a chocking hazard. This is a direct violation stipulation L which states Hazardous items, including items labeled "Keep out of reach of children" must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ three (3) years of age. Correction: Ensure all choking hazards to be inaccessible to children less than three (3) years of age. Correct Immediately. CORRECTED AT TIME OF VISIT, Director removed the leaves and throw them to the trash can. No further action needed. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.702.91.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In the preschool classroom a staff bag was accessible to children on top of the sink. This is a direct violation stipulation L which states Hazardous items, including items labeled "keep out of reach of children" must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Ensure all hazardous items to be inaccessible to children. Correct Immediately. CORRECTED AT TIME OF VISIT, staff place the bag out of the reach of children. No further action needed. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

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

In preschool 1 diaper changing bin with loose plastic bags on floor to be accessible to children, creating a suffocation hazard. This is a direct violation stipulation L which states Hazardous items, including items labeled "Keep out of reach of children" must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Ensure all loose plastic bags to be inaccessible to children. Correct Immediate. CORRECTED AT TIME OF VISIT, Director covered the bin and moved it to a shelf inaccessible to children. No further action needed. Correct by 11/13/2023

Corrected Corrected by Nov 13, 2023

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

7.702.91.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

Adult restroom located in the older classroom hallway to be unlock and have 5 spray bottles with cleaning solutions accessible to children. Correction: All cleaning compounds must be stored in areas inaccessible to children. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

Marked corrected in the state record.

7.702.42.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.

2 out of 5 staff files, Cynthia M, and Asia C. reviewed to be missing documentation of Department approved prevention of shaken baby/abuse head trauma training. Correction: All providers and staff working with children less than three years must complete a Department approved prevention of shaken baby/abuse head trauma training prior to working with children less than three years of age and renew annually. Correct immediately. Send copies of the training certificates to the Licensing Specialist. Document future compliance with the written response. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.F.2 · . 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 last documented emergency drills conducted to be in July 6, 2023. Correction: Fire drills must be held monthly, tornado drills must be held monthly between March to October, and other emergency drills must be held quarterly so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Record of drills must include date, time, number of adults, number of children, and the amount of time taken to evacuate. Correct immediately. Ensure that emergency drills are conducted and documented in full. Document compliance to the Licensing Specialist with the written response. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.41.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Latisha N. to be missing documentation of a medical statement signed and dated by a physician or other health care provider. Correction: All staff members must submit to the center a medical statement signed and dated by a licensed physician or other health care professional at the start of their employment. Subsequent self-reported health histories may be submitted annually. Obtain a physician signed medical statement for the staff listed above. Send copies to the Licensing Specialist. Document future compliance with the written response. Correct by 11/23/2023

Corrected Corrected by Nov 23, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

2 of 5 staff files to be missing documentation of the Department approved standard precautions training course for the following individuals: Cynthia M. and Asia C. Correction: All staff must complete a Department approved standard precautions training that meets current OSHA requirements and renew annually. Correct immediately. Obtain missing documentation and add to staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

Category: ratio. Marked corrected in the state record.

7.701.33.J.1.a.b.c · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Through file review that the following staff have resided outside of Colorado within the past five years and do not have out of state clearance letters or out of state background checklist: Caustina M. and Cynthia M. Correction: Obtain out of state clearance letters and keep out of state checklist in staff file. Correct immediately. All

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

Two carved pumpkins to have mold inside and sitting on top of the classroom tables accessible to children creating a safety hazards. Correction: All indoor materials should be safe and free of hazards. Assistant director removed the pumpkins and threw in the outside garbage bins 10/23/2023. CORRECTED AT THE TIME OF VISIT. No written response is necessary for this violation. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

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

7.702.42.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.

Cynthia M. to be missing documentation of current Department approved safe sleep training. Correction: Each provider or staff member must complete a Department approved safe sleep training course and renew annually prior to working with infants or if licensed for infant care. Correct immediately. Obtain documentation of training and add to staff file. Send a copy of the training certificate to the Licensing Specialist. Document future compliance with the written response. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

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

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

2 of 5 staff files reviewed to be missing documentation of the Introduction of the Early Intervention and Preschool Special Education Programs training course for the following staff members: Latisha N., and James G. Correction: All staff must complete the Introduction to Early Intervention and Preschool Special Education Programs training course. Complete course and add training certificate to staff file. Send a copy of the training certificates for the staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 11/23/2023

Corrected Corrected by Nov 23, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

1 of 5 staff files reviewed to be missing documentation of the Recognizing the impact of Bias on Early Childhood Professionals training course for the following staff members: James G. Correction: All staff must complete the Recognizing the impact of Bias on Early Childhood Professionals training course. Complete course and add to staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 11/23/2023

Corrected Corrected by Nov 23, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

3 of 5 staff files to be missing Department approved documentation of the emergency and disaster preparedness training course for the following individuals: James G., Cynthia M., Asia C. Correction: All providers/staff of a child care facility must be trained in emergencies and disaster preparedness prior to caring for children. Correct immediately. Obtain documentation of the emergency and disaster preparedness training

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.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.

1 of 5 staff files to be missing documentation of the Introduction to First Aid and CPR training module for the following staff not to be required by rule to be certified in First Aid or CPR: James G. Correction: Staff caring for children and not required by rule to be certified in First Aid/CPR must complete the Introduction to First Aid and CPR training module. Complete course and add to staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 11/23/2023

Corrected Corrected by Nov 23, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.62.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.

Infant 2 classroom did not have two children signed in the tracking sheet to verify attendance periodically throughout the day. Correction: Immediately ensure attendance tracking sheets are being maintained and attendance is being verified periodically throughout the day. Submit a statement of compliance by 10/2/23. Correct by 09/25/2023

Corrected Corrected by Sep 25, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.71.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.

Pom-Poms small enough to be swallowed or inhaled in the Discovery Preschool 2 classroom which serves children under the age of 3. Correction: Immediately ensure items small enough to be swallowed or inhaled are not accessible in classrooms that serve children under the age of 3. Submit a statement of compliance by 10/2/23. Correct by 09/25/2023

Corrected Corrected by Sep 25, 2023

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

7.702.46.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

There were 9 two year old children with 1 staff member for an hour and 55 minutes in the toddler 2 classroom today, 9/25/23. Correction: Immeditely ensure proper staff to child ratios are maintained at all times. Submit a statement of compliance by 10/2/23 Correct by 09/25/2023

Corrected Corrected by Sep 25, 2023

Category: ratio. Marked corrected in the state record.

7.702.51.B.11 · 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.

Sunscreen not labeled with the child's first and last name in the discovery preschool 2 and discovery preschool 1 classrooms. Correction: Immediately ensure sunscreen is labeled with the child's first and last name. Submit a statement of compliance by 10/2/23. Correct by 09/25/2023

Corrected Corrected by Sep 25, 2023

Category: ratio. Marked corrected in the state record.

7.702.34.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.

Two children's files lacking a current physical exam completed by a health care provider. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately obtain a current physical exam to be maintained in the child's file. Submit a statement of compliance by 10/2/23. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

One children's file lacking an immunization record. Correction: Immediately review all children's files to ensure an immunization record are on file. Submit a statement of compliance by 10/2/23. Correct by 10/02/2023

Corrected Corrected by Oct 2, 2023

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

7.702.71.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

A child was sleeping on a cot on the floor blocking the evacuation crib in Infant 2. Correction: Immediately by 8/31/23 ensure there is nothing blocking the evaucation equipment in infant 2. Submit a written statment of compliance by 9/14/23 Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Malissa lacking documentation of CBI fingerprint clearance, and Bethany lacking documentation of FBI fingerprint clearance. Correction: Immediately obtain CBI and FBI fingerprint clearance documents to be maintained in the staff file. Submit documentation and a statement of compliance by 9/14/23 Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

Category: supervision. Marked corrected in the state record.

7.702.5.C.3 · For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care.

An emergency medication in the Pre-K classroom did not have instructions filled out from the health care provider. Correction: Immediately by 8/31/23 ensure written instructions from the health care provider is filled out on the health care plan. Submit a written statement of compliance by 9/14/23. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.72.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

A gap at the top of the yellow double slide on the Preschool playground. Correction: Immediately ensure there is no gap at the top of the slide. Submit a statement of compliance by 9/14/23 Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.42.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.

Nurten lacking safe sleep training updated annually. Discussed with staff that Nurten works in the infant room when giving staff breaks. Correction: Immediately ensure that all staff working in the infant room have current safe sleep training. Submit documentation and a statement of compliance by 9/14/23. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.62.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

A 14 month old child was observed sleeping on a cot in the infant 2 classroom. Correction: Immediately by 8/31/23 ensure children in the infant room are sleeping in approved sleep equipment. submit a written statement of compliance by 9/14/23. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.701.33.J.1.a.b.c · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Bethany and Latisha lacking the out of state background check checklist. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Bethany and Latisha has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for Bethany and Latisha with written response to Specialist. Correct by 9/1/23. Correct by 09/01/2023

Corrected Corrected by Sep 1, 2023

Category: supervision. Marked corrected in the state record.

7.702.41.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Malissa and Latisha lacking documentation of a medical statement. Correction: Immediately obtain a health statement for Malissa and Latisha to be maintained in the staff file. Submit a written statement of compliance by 9/14/23. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.42.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.

Nurten lacking child abuse prevention training updated annually. Correction: Immediately obtain current abuse prevention training for Nurten. Submit documentation and a statement of compliance by 9/14/23. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.34.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.

Two children's files lacking a current physical exam. Correction: Immediately obtain a current physical exam to be maintained in the child's file. Submit a statement of compliance by 9/14/23. Correct by 08/31/2023

Corrected Corrected by Aug 31, 2023

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

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Two children's files lacking an immunization record. Correction: Immediately review all children's files to ensure an immunization record is on file. Submit a statement of

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

7.702.42.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.

McKayla lacking current Shaken Baby/Aubusive head trauma training expired in 2022. Correction: Immediately complete current shaken baby/abusive head trauma. Submit documentation and a statement of compliance by 8/23/23. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.45.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved First Aid and Safety certificate that includes CPR for all ages of children.

McKayla is alone in the infant room and does not have current First Aid and CPR training. Correction: Immediately ensure there is a staff member on duty at all times in each infant room with current first aid and CPR training. Submit documentation and a statement of compliance by 8/23/23. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.41.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.

McKayla lacking a current medical statement with subsequent exam date. Correction: Obtain a current physical exam to be maintain in the staff file. Submit a written statement of compliance by 8/23/23. Correct by 08/23/2023

Corrected Corrected by Aug 23, 2023

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

7.702.45.C.2 · Staff Aides must be at least sixteen (16) years of age, must work directly under the supervision of the Director or a Toddler Early Childhood Teacher, and must have completed eight (8) hours of orientation at the toddler program.

Bethany is an aide working in the toddler room and does not have documentation of 8 hours of toddler orientation. Correction: Immediately by 7/12/23 ensure Bethany has 8 hours of toddler orientation. Submit a written statement of compliance by 7/26/23. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: supervision. Marked corrected in the state record.

7.702.41.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Bethany and Malissa have been employed for more than 30 calendar days and do not have a medical statement in their file. Correction: Immediately ensure that staff obtain a current medical statement, submit a written statement of compliance by 7/26/23. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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

7.702.45.A.1.e · An Early Childhood Teacher, assigned responsibility for a single group of children and working under the supervision of a Director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:A current Early Childhood Professional Credential Level II or higher in Version 3.0 as determined by the Department.

Malissa is the assigned early childhood teacher in Toddler B and does not have documentation of the Early Childhood Professional Credential for qualifications. Correction: Immediately by 7/12/23 ensure that there is a qualified early childhood teacher with each group of children. Submit a statement of compliance by 7/26/23. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: supervision. Marked corrected in the state record.

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

One children's file was lacking documentation of immunization record. Correction: Immediately obtain documentation of immunization records. Submit a written statement of compliance by 7/26/23. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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