2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

No verification of TRAILS clearance was was available in the files for Janet A or Tierra M at the time of the visit. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint Submit verification that staff members Janet A and Tierra M have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance letters for Janet A and Tierra M with written response to Licensing no later than 7/10/2025. Correct immediately 6/26/2025. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

Category: supervision. Marked corrected in the state record.

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

No verification of CBI clearance was available for Janet A, Gabrielle M, Annie J, Rachel W, Tierra M or Paula E at the time of the visit. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint Submit verification that staff members Janet A, Gabrielle M, Annie J, Rachel W, Tierra M and Paula E have reviewed the powerpoint within 24 hours. Submit documentation of CBI Clearance letters for Janet A, Gabrielle M, Annie J, Rachel W, Tierra M and Paula E with written response to Licensing no later than 7/10/2025. Correct immediately 6/26/2025. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

Category: supervision. 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;

One child's file reviewed had an authorization for emergency medical care that was unsigned. Correction: Immediately (06/26/2025) obtain a signed authorization for emergency medical care and retain in child's file. Submit verification to Licensing with written response no later than 07/10/2025. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

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

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

No signed statement regarding reading and understanding the licensing rules was present in the file for Janet, Gabrielle, Annie, Tierra or Paula. Correction: Immediately (06/26/2025) obtain signed statements from staff members listed and retain in employee files.

Open Not marked corrected in the state record

Open / not marked corrected.

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 children's files reviewed had physicals/health statements that were expired. Correction: Immediately (06/26/2025) obtain current physicals/health statements and retain in children's files. Submit verification to Licensing with written response no later than 07/10/2025. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

Category: ratio. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

The TRAILS clearance letters in the file for Amy and Paula are expired. Correction: Immediately (07/09/2024) submit a new inquiry form and current fee to obtain a current clearance letter. Submit copy of updated clearance letter to Licensing with written response no later than 07/23/2024. Correct by 07/09/2024

Corrected Corrected by Jul 9, 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 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.

The FBI clearance letters for Elizabeth and Zachary are expired. Correction: Immediately (07/09/2024) submit a new fingerprint inquiry form and current fee to obtain a current clearance

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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.

No current emergency and disaster preparedness training was present in the file for Sara. Correction: Immediately (07/09/2024) complete the emergency and disaster preparedness training and retain verification in employee file. Submit copy of certificate to Licensing with written response no later than 07/23/2024. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. 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.

No current medical statements were available in the file for Elizabeth, Connie, Stephanie, Zachary, Sara, Tierra, Paula or Lauren. The forms observed are expired in the files Correction: Immediately (07/09/2024) obtain current physicals and retain in employee files. Subsequent self reported health histories can be submitted annually after the initial current statement from the health care provider is received. Submit verification o Licensing with written response no later than 07/23/2024 Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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

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

There was an area of drywall in the preschool classroom on the west side of the building that had damage and gouges. Correction: Immediately (07/12/2023) repair damage to drywall in the classroom. Submit verification of correction to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.701.32.J · . Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the State Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before prior to the five (5) years from the date reflected on the current clearance letter.

No updated TRAILS background check was observed in the file for Zach. Correction: Immediately (07/12/2023) obtain current TRAILS background check and retain verification in employee file. Submit copy of clearance letter to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: background checks. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

No current First Aid and CPR certification or completion of the module was present in the file for Auroura or Elexis. Correction: Immediately (07/12/2023) complete First Aid and CPR or Module and retain verification in employee files. Submit copies of certificates to Licensing with written response no later than 07/26/2023 Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.701.33.D.5 · Every five (5) years requests for FBI criminal record checks must be renewed by resubmitting a complete set of fingerprints and the required fee to CBI for processing. 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.

No updated FBI background check was observed in the file for Zach. Correction: Immediately (07/12/2023) obtain current TRAILS background check and retain verification in employee file. Submit copy of clearance letter to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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

7.701.53.A · . A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law.

No signed abuse reporting statements were present in the files for Auroura or Lauren. Correction: Immediately (07/12/2023) obtain signed abuse reporting statements and retain in employee files. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Marked corrected in the state record.

7.702.34.A.7 · 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.

The authorizations for emergency medical care were expired in two of the children's file reviewed. Correction: Immediately (07/12/2023) obtain current signed authorizations for emergency medical care and retain in children's files. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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

7.702.35.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

No immunization information was available in the file for Stephanie, Auroura, Elexis or Lauren. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (07/12/2023) obtain immunization records or statement and retain in employee files. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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

7.702.35.A.6 · A record must be maintained, either written or electronic, for each staff member that includes the following: All information from background checks as required in the General Rules for Child Care Facilities at Section 7.701.32.

No verification of the TRAILS clearance letter was present in the file for Elexis. Correction: Immediately (07/12/2023) obtain copy of TRAILS clearance letter and retain in employee file. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: background checks. 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.

No current physicals were present in the files for Amy, Stephanie, Auroura, Elexis or Lauren. Correction: Immediately (07/12/2023) obtain current physicals and retain in employee files. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually and will be counted towards ongoing professional development.

No verification of current Standard Precautions training was present in the file for Auroura, Zach, Elexis, Lauren or Sharon. Correction: Immediately (07/12/2023) obtain current Standard Precautions training and retain in employee files. Submit copies of certificates to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: ratio. 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 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.

No verification current Shaken Baby training was present in the file for Stephanie or Auroura. Correction: Immediately (07/12/2023) complete Shaken Baby training and retain verification in employee files. Submit copies of certificates to Licensing with written response no later than 07/26/2023 Correct by 07/12/2023

Corrected Corrected by Jul 12, 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

No completed FEMA training was present in the file for Auroura, Elexis or Lauren Correction: Immediately (07/12/2023) complete required FEMA training and retain verification in employee file. Submit copies of certificates to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: recordkeeping. 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.

No current child abuse training was present in the file for Auroura, Zach, Elexis, Lauren or Doris. Correction: Immediately (07/12/2023) complete current child abuse training and retain verification in employee files. Submit copies of certificates to Licensing with written response no later than 07/26/2023 Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: recordkeeping. 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 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.

No Early Intervention and Preschool Special Education Programs training was present in the file for Auroura, Elexis, Lauren or Doris. Correction: Immediately (07/12/2023) complete Early Intervention and Preschool Special Education Programs training and retain verification in employee files. Submit copies of certificates to Licensing with written response no later than 07/26/2023 Correct by 07/12/2023

Corrected Corrected by Jul 12, 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.

No Recognizing the Impact of Bias training was present in the file for Auroura, Lauren or Doris. Correction: Immediately (07/12/2023) complete Recognizing the Impact of Bias training and retain verification in employee files. Submit copies of certificates to Licensing with written response no later than 07/26/2023 Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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

Three children's files reviewed had physicals that are expired. Correction: Immediately (07/12/2023) obtain current physicals and retain verification in children's files. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: ratio. Marked corrected in the state record.

7.702.62.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Nap mats were not spaced 2 feet apart on all sides as required in either of the preschool classrooms at nap. Correction: Immediately (07/12/2023) ensure that nap mats are spaced at least 2 feet apart on all sides during nap time. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: supervision. Marked corrected in the state record.

7.702.63.A.7 · Staff members must sit with the children and encourage them to try a variety of food served. During meals, children should be encouraged to engage in conversation and to express their independence.

Staff members were not sitting with children during lunch time as required in either of the preschool classrooms. Correction: Immediately (07/12/2023) ensure that staff sit with children when they are eating. Submit verification to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

Category: nutrition. Marked corrected in the state record.

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

Rustoleum Spray Gloss and flammable hand sanitizer were present in an unlocked cabinet in the school age room. Both of these items are labeled "Keep Out of Reach of Children" (KORC) Correction: Immediately (07/12/2023) ensure that all items labeled as "KORC" are stored so that they are inaccessible to children. Submit verification of correction to Licensing with written response no later than 07/26/2023. Correct by

Open Not marked corrected in the state record

Open / not marked corrected.

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

`Open boxes of plastic trash bags were accessible on a lower shelf in an unlocked cabinet in the school age room. Correction: Immediately (07/12/2023) ensure that all plastic bags are stored so that they are inaccessible to children. Submit verification of correction to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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 fire inspection available at the time of the visit was marked "FAIL". An approving fire inspection is required. Correction: Immediately (07/12/2023) obtain a current approving fire inspection and submit copy to Licensing with written response no later than 07/26/2023. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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