2.220.G.1 · Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation.

There was an emergency medication accessible to children in a backpack on a child shelf in the SW6 classroom. Correction: Corrected at the time of inspection. Staff placed the backpack with emergency medication on their back, making it inaccessible. A written response is not required. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

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

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

There was hand sanitizer and an instant cold pack accessible to children in a backpack on a child shelf in SW6. There was a large container of wood stain accessible to children in the hallway to the Big Gym. Correction: Corrected at the time of inspection. The backpack with sanitizer and instant cold pack was made inaccessible and the wood stain was removed from the hallway. A written response is not required. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

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.

Reviewed 11 staff files. SM1 did not have documentation of a medial statement signed by a health care FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ provider. Correction: Obtain documentation of a signed medical statement for SM1. Submit a written statement of compliance by 10/14/25. Correct by 10/14/2025

Corrected Corrected by Oct 14, 2025

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

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

Reviewed 11 staff files. SM2 and SM3 did not have documentation of a current standard precautions training. Correction: Immediately, obtain documentation of a current standard precautions training for SM2 and SM3. Submit documentation and a written statement of compliance by 10/14/25. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: recordkeeping. 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.

Reviewed 11 staff files. SM4 and SM5 did not have documentation of a current First Aid and CPR certification or the Intro to First Aid and CPR training module. Correction: Obtain documentation of a current First Aid and CPR certification or Intro to First Aid and CPR training module for SM4 and SM5. Submit documentation and a written statement of compliance by 10/14/25. Correct by 10/14/2025

Corrected Corrected by Oct 14, 2025

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 11 staff files. SM2 and SM4 did not have documentation of a current child abuse prevention FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training. Correction: Obtain documentation of a current child abuse prevention training for SM2 and SM4. Submit documentation and a written statement of compliance by 10/14/25. Correct by 10/14/2025

Corrected Corrected by Oct 14, 2025

Category: recordkeeping. 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 18 staff files. Deonne R and Janine G did not have documentation of a current Standard Precautions training. Correction: Immediately, obtain documentation of standard precautions training for Deonne R and Janine. Submit documentation and a written statement of compliance by 11/9/24. Correct by 10/10/2024

Corrected Corrected by Oct 10, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 18 staff files. Elma G did not have documentation of the FBI clearance letter. Correction: Immediately, ensure the results of the CBI and FBI response letters are maintained at the facility and available for review upon request by Licensing Specialist. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Elma G has reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter for Elma G with written statement of compliance by 11/9/24. Correct by 10/10/2024

Corrected Corrected by Oct 10, 2024

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 18 staff files. Tammy B did not have documentation of an FBI clearance letter that has been updated within the last 5 years. Correction: Immediately, ensure the FBI criminal record check is renewed every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Tammy B has reviewed the powerpoint within 24 hours. Submit documentation of updated FBI clearance letter for Tammy B with a written statement of compliance by 11/9/24. Correct by 10/10/2024

Corrected Corrected by Oct 10, 2024

Category: background checks. 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.

Reviewed 18 staff files. Deonne R and Rebecca S did not have documentation of a current First Aid and CPR certification or Introduction to First Aid and CPR training module. Correction: Obtain documentation of First Aid and CPR certification or the Introduction to First Aid training module for Deonne R and Rebecca S. Submit documentation and a written statement of compliance by 11/9/24. Correct by 11/09/2024

Corrected Corrected by Nov 9, 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 18 staff files. Deonne R and Janine G did not have documentation of a current child abuse FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ prevention training. Correction: Obtain documentation of child abuse prevention training for Deonne R and Janine G. Submit documentation and a written statement of compliance by 11/9/24. Correct by 11/09/2024

Corrected Corrected by Nov 9, 2024

Category: recordkeeping. Marked corrected in the state record.

2.204.B.4 · A “toddler program” provides care for children between the ages of twelve (12) months (when walking independently or with a health care provider’s statement indicating developmental appropriateness of placement in a toddler program) and thirty-six (36) months.

A 14-month old child in room SW6 is not walking independently and does not have a health care providers statement indcating developmental appropriateness of placement in toddler program. Correction: Immediately, children in the toddler program ages 12 months to 36 months old must be walking independently or obtain a health care provider statement for indicating developmental appropriateness of placement in the toddler program. Submit documentation and a written statement of compliance by 11/9/24. Correct by 10/10/2024

Corrected Corrected by Oct 10, 2024

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

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

There were sharp scissors accessible to children on the counter in room SE4. Correction: Corrected at the time of inspection. The teacher place the scissors in a locked door. A written response is not required. Correct by 10/10/2024

Corrected Corrected by Oct 10, 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.

The bench seat/lid to the plastic bench seat and storage bin on the toddler playground was cracked. Correction: Corrected at the time of inspection. The director removed the cracked seat/lid from the storage bench. A

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

There were loose plastic bags stored in an unlocked cupboard in the hallway next to the East Wing bathroom. Correction: Corrected at the time of inspection. The director removed the plastic bags and placed them in a locked cupboard. A written response is not required. Correct by 10/10/2024

Corrected Corrected by Oct 10, 2024

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

Reviewed 20 staff files and observed Taylor to be missing documentation of Emergency and Disaster Preparedness training. Correction: Immediately obtain documentation of Emergency and Disaster Preparedness training for staff. Correct by 11/16/2023

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.34.A · . Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

The facility to have an expired fire inspection. Correction: Obtain documentation of current fire inspection. Correct by 12/16/2023

Corrected Corrected by Dec 16, 2023

Category: health medication. 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.

Reviewed 20 staff files and observed Alyssa missing documentation of signed medical statement. Verified that Alyssa has been employed over 30 days. Correction: Obtain documentation of signed medical statement for staff. Correct by 12/16/2023

Corrected Corrected by Dec 16, 2023

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

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.

Reviewed 20 staff files and observed Kalina to be missing documentation of current CPR and First Aid Module or certification. Correction: Obtain documentation of current CPR and First Aid module or certification for staff. Correct by 12/16/2023

Corrected Corrected by Dec 16, 2023

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.

Reviewed 20 staff files and observed Kalina to be missing documentation of child abuse prevention training. Verified that Kalina has been employed more than 30 days. Correction: Immediately obtain documentation of child abuse prevention training for staff. Correct by 11/16/2023

Corrected Corrected by Nov 16, 2023

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed 20 staff files and observed the Director, Amy, to have expired immunization training. Identified that Amy helps collect, review, and maintain child immunization records. Correction: Obtain documentation of immunization training for staff responsible for child immunization records. Correct by 12/16/2023

Corrected Corrected by Dec 16, 2023

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

7.702.46.C.8 · All Department-approved Child Care Health Consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Reviewed CCHC documentation and observed the CCHC to have an expired immunization training. Correction: Obtain documentation of current immunization training for CCHC. Correct by 12/16/2023

Corrected Corrected by Dec 16, 2023

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

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 12 child files and observed 4 children to have expired health statements. Correction: Obtain documentation of current health statements for children. Correct by 12/16/2023

Corrected Corrected by Dec 16, 2023

Category: ratio. 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.

Reviewed 12 child files and observed 1 to have immunizations documented on a non-approved form. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain documentation of immunization records on CDPHE approved forms. Correct by 12/16/2023

Corrected Corrected by Dec 16, 2023

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

7.702.91.A · Firearms as defined in § 18-1-901(3)(h), C.R.S., are prohibited on the premises, both indoor and outdoor, and in any vehicle in which children are transported.

Identified through Director statement that an individual who acts as a security guard, completes safety walk-throughs of the facility and the individual does carry a firearm. Correction: Firearms are prohibited on the premises both, indoors and outdoors, and in any vehicle in which children are transported. Submit a plan of action within 24 hours with written response to specialist. Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

Category: transportation. Marked corrected in the state record.

7.702.72.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.

Observed two pieces of portable climbing equipment on the toddler playground that were approximately 24 inches tall. Both pieces of portable climbing equipment was placed on astroturf that was missing the built in resilient pad. Correction: All climbing equipment 18 inches or higher must have resilient surfacing of at least 6 inches in the use zone. **Corrected at time of inspection - portable climbing equipment was moved to the other side of the playground on approved resilient surfacing. No written response is required.** Correct by 09/27/2023 ________________________________________________

Corrected Corrected by Sep 27, 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.

In the SE2 classroom observed an unlocked lower cupboard containing Clorox labeled "keep out of reach of children" accessible to children posing a potential health hazard. Correction: Immediately make all items labeled "keep out of reach of children" inaccessible to children. **Corrected at time of inspection - cupboard lock was fixed making Clorox inaccessible to children. No response is required.** Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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

7.702.51.C.3 · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

In the SE7 classroom observed multiple individual sunscreens that were labeled with the children's first name FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ only. Correction: Immediately labeled individual sunscreen with child's first and last name. **Corrected at time of inspection - sunscreen was correctly labeled with children's first and last names. No written response is required.** Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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 the SW hallway, where toddler classrooms are housed, observed clips holding artwork that pose a potential choking hazard. Correction: All areas of the facility accessible to children less than 3 years of age must be free from choke hazards. **Corrected at time of inspection - hanging clips were removed making them inaccessible to children under 3. No response is required.** Correct by 09/27/2023

Corrected Corrected by Sep 27, 2023

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