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.

At the time of visit, licensing specialist asked the staff in the K4 classroom how many children were in attendance, the staff members stated sixteen (16), with eighteen (18) children in the room. Correction: Immediately ensure all staff demonstrate knowledgeable decision-making. Submit a written statement of compliance by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

At the time of visit reviewed eighteen (18) staff files and found two (2) files with an expired Department-approved standard precautions trainings. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately review all staff files and ensure all files contain a current standard precautions training. Submit a written statement of compliance and copy of the training certificates to Specialist by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

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

At the time of visit reviewed eighteen (18) staff files and found one (1) file with an expired Department-approved safe sleep training. Correction: Immediately review all staff files and ensure all files of staff working with infants contain a current safe sleep training. Submit a written statement of compliance and copy of the training certificate to Specialist by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Category: physical safety. 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.

At the time of visit reviewed eighteen (18) staff files and found one (1) missing and two (2) expired Department-approved prevention of shaken baby/abusive head trauma trainings. Correction: Immediately review all staff files and ensure all files of staff working with children less than three (3) years of age contain a Department-approved prevention of shaken baby/abusive head trauma training. Submit a written statement of compliance and copy of the training certificates to Specialist by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. 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.

At the time of visit, reviewed eighteen (18) staff files and found three (3) files without a child development training available for review. Correction: Review all staff files and ensure all files contain one (1) hour of child development training. Submit a written statement of compliance and copies of certificates to Specialist by 1/05/2026. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. 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.

At the time of visit, observed an attendance record in the preschool classroom with sixteen (16) children signed in, and eighteen (18) children in the room. Correction: Immediately ensure that staff complete written attendance verification. Submit a written statement of compliance by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Category: recordkeeping. Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 21 Staff files. 4 staff files did not contain a current department approved training for emergency and disaster preparedness. Correction: Immediately review all staff files and ensure each file contains a copy of emergency and disaster preparedness. Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 21 Staff files. 10 staff files did not contain a current department approved training for safe sleep. Correction: Immediately review all staff files and ensure each file contains a current copy of safe sleep. Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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

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

Reviewed 21 Staff files. 2 staff files did not contain a current department approved training for shaken baby/abusive head trauma. Correction: Immediately review all staff files and ensure each file contains a current copy of shaken baby/abusive head trauma. Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 21 Staff files. 13 staff files did not contain a current department approved training for child abuse prevention. Correction: Immediately review all staff files and ensure each file contains a current copy of child abuse prevention. Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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

Reviewed 21 Staff files. 1 staff file did not contain a current department approved training for Introduction to the Early Intervention and preschool Special Education Program. Correction: Immediately review all staff files and ensure each file contains a copy of Introduction to the Early Intervention and preschool Special Education Program. .Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.I · 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 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.

Reviewed 21 Staff files. 1 staff file did not contain a current department approved training on Recognizing the Impact of Bias on Early Childhood Professionals. Correction: Immediately review all staff files and ensure each file contains a copy of Recognizing the Impact of Bias on Early Childhood Professionals. Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed 21 Staff files. 21 staff file did not contain a minimum of 15 clock hours of on going professional development. Correction: Immediately review all staff files and ensure each file contains a minimum of 15 clock hours of ongoing professional development. Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Marked corrected in the state record.

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

At the time of inspection there was 1 to 3 inches of resilient surfacing on the playground. Correction: Immediately ensure the resilience surfacing is at least 6 inches in depth. Submit a written statement of compliance and pictures by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

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

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 21 Staff files. 4 staff files did not contain a current department approved training for standard precautions. Correction: Immediately review all staff files and ensure each file contains a current copy of standard precautions. Submit a written statement of compliance and documentation by 2/29/2024. Correct by 02/22/2024

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.206.B.10 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children's illnesses, accidents, and injuries

Identified through teachers and director statements that the procedures for notifying parent(s)/guardian(s) for an injury were not followed. Correction: Immediately ensure all staff are following the procedures for notifying parent(s)/guardian(s) for an injury. Provide a written statement of compliance by 2/28/2024. Correct by 02/21/2024 ________________________________________________

Corrected Corrected by Feb 21, 2024

Marked corrected in the state record.