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 the visit, 23 staff files were reviewed, and it was found that one file contained an expired Standard Precautions training certificate. Correction: Immediately review all staff files to ensure each file contains a current Standard Precautions training certificate. Submit a copy of the updated certificate along with a written statement of compliance by August 28, 2025. Correct by 08/14/2025

Corrected Corrected by Aug 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.

At the time of the visit, 23 staff files were reviewed, and it was found that three files contained expired Child FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Abuse Prevention training certificates. Correction: Immediately review all staff files to ensure each file contains a current Child Abuse Prevention training certificate. Submit copies of the updated certificates along with a written statement of compliance by August 28, 2025. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

Category: recordkeeping. Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

At the time of the visit, two open bags of diapers were observed on a shelf in the Twos 2 room bathroom, accessible to children. Correction: Immediately ensure that all diaper-changing supplies are stored in areas inaccessible to children. Corrected at the time of the visit: The teacher moved the diapers to a high shelf, making them inaccessible to children. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

Marked corrected in the state record.

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

At the time of the visit, Dawn dish soap labeled “Keep out of reach of children” was observed on a shelf next to the handwashing sink in the Primary 2 classroom, accessible to children. Correction: Immediately ensure that all items labeled “Keep out of reach of children” are stored in areas inaccessible to children. Corrected at the time of the visit: The teacher moved the soap to a locked cabinet, making it inaccessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

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

At the time of the visit, reviewed 25 staff files and found 1 staff (Ava Bonsall) has an expired Department-approved prevention of shaken baby/abusive head trauma training certification that expired on 6/20/2024. Correction: Immediately review all all staff file to ensure that all files contain a current Department-approved prevention of shaken baby/abusive head trauma training is present. Submit a copy of the updated training certificate for Ava Bonsall and a written statement of compliance by 10/31/2024. Correct by 10/17/2024

Corrected Corrected by Oct 17, 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.

At the time of the visit, reviewed 25 staff files and found 1 staff (Ava Bonsall) has an expired Department-approved child abuse prevention training certification that expired on 7/5/2024. Correction: Immediately review all all staff file to ensure that all files contain a current Department-approved child abuse prevention training certificate. Submit a copy of the updated training certificate for Ava Bonsall and a written statement of compliance by 10/31/2024. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

Category: recordkeeping. 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.

At the time of the visit, reviewed the emergency drills and found there were missing lockdown and active shooter drills, fire drills, and tornado drills. Correction: Immediately ensure all lockdown and active shooter drills and fire drills are held monthly and all emergency drills tornado drills are held monthly from March to October. A record of all emergency drills held over the past twelve months must be maintained by the facility. Submit a written statement of compliance by 10/31/2024. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

Category: recordkeeping. Marked corrected in the state record.