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 seventeen (17) staff files and found one (1) files with an expired training and one (1)file without a standard precautions training available for review. Correction: Immediately review all staff files and ensure all files contain a Department-approved standard precautions training. Submit copies of certificates and statement of compliance by 1/20/2026. Correct by 01/13/2026

Corrected Corrected by Jan 13, 2026

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 seventeen (17) staff files and found one (1) file with an expired training and one (1)file without a safe sleep training available for review. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately review all staff files and ensure all files contain a Department-approved safe sleep training. Submit copies of certificates and statement of compliance by 1/20/2026. Correct by 01/13/2026

Corrected Corrected by Jan 13, 2026

Category: physical safety. 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 visit reviewed seventeen (17) staff files and found three (3) files with an expired child abuse prevention training. Correction: Immediately review all staff files and ensure all files contain a Department-approved child abuse prevention training. Submit copies of certificates and statement of compliance by 1/20/2026. Correct by 01/13/2026

Corrected Corrected by Jan 13, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of visit, reviewed seventeen (17) staff files, and found two (2) files containing expired TRAILS records background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff has reviewed the powerpoint within 24 hours. Submit

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.209.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

At the time of visit, reviewed six (6) children's files and found one (1) with a health statement unavailable for review. Correction: Review all children's files and ensure all files contain a health statement completed by a health provider. Submit a written statement of compliance by 2/13/2026. Correct by 01/13/2026

Corrected Corrected by Jan 13, 2026

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.

At the time of the visit, observed Clorox wipes on a shelf and an unlocked cabinet containing Windex labeled "Keep Out of Reach of Children", both accessible to children. Correction: Ensure that all items labeled "Keep Out of Reach of Children" are stored in areas inaccessible to children. This was corrected at the time of the visit, as the teacher moved the Clorox wipes and Windex to a locked cabinet, making them inaccessible to children. Submit a written statement of future compliance by March 21, 2025. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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 the visit, reviewed eight staff files and found that Jera H., Olivia C., Tabitha P., and Silika Y. were missing their Child Development Training Certificates. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Review all staff files to ensure they contain at least one hour of Child Development Training Certificate. Submit a copy of the certificate along with a written statement of compliance by March 21, 2025. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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 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.

At the time of the visit, reviewed eight staff files and found that Tabitha P. was missing the Early Intervention and Preschool Special Education Programs Training Certificate. Correction: Review all staff files to ensure they contain the Early Intervention and Preschool Special Education Programs Training Certificate. Submit a copy of the certificate along with a written statement of compliance by March 21, 2025. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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.

At the time of the visit, reviewed eight staff files and found that Tabitha P. was missing the Recognizing the Impact of Bias Training Certificate. Correction: Review all staff files to ensure they contain the Recognizing the Impact of Bias Training Certificate. Submit a copy of the certificate along with a written statement of compliance by March 21, 2025. Correct by 02/19/2025

Corrected Corrected by Feb 19, 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.

At the time of the visit, reviewed eight staff files and found that Tabitha P. was missing the First Aid and CPR Module Training Certificate. Correction: Review all staff files to ensure they contain a current First Aid and CPR Training Certificate. Submit a copy of the certificate along with a written statement of compliance by March 21, 2025. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: recordkeeping. Marked corrected in the state record.

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.

At the time of the visit, reviewed eight staff files and found that Tabitha P. was missing the TRAILS Clearance Letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Tabitha P have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS background check, for staff member Tabitha P with written response to Specialist by Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: supervision. Marked corrected in the state record.

2.209.A.5 · 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: Name, address, and telephone numbers of the child's health care provider, dentist, and if applicable, their hospital of choice.

At the time of the visit, reviewed the children's paperwork and observed the dentist's address and hospital's address were missing for parents to fill out. Correction: On the children's paperwork, add the dentist's address and hospital's address for families to fill out. Submit a

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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;

At the time of the visit, reviewed 6 children's files and found that 1 file had an expired emergency medical authorization. Correction: Immediately review all children's files and ensure all files contain a current emergency medical authorization form. Submit a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 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 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.

At the time of the visit, reviewed 6 children's files and found 1 child had an expired health statement. Correction: Immediately review all children's files and ensure all files contain a current health statement. Submit a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At the time of the visit, reviewed 8 staff files and found 1 file (Emily S) was missing the original medical statement. Correction: Immediately review all staff files and ensure all files contain the original medical statement. Submit a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: health medication. 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 the visit, reviewed 8 staff files and found that 1 file (Kathleen Y) was missing verification of completing the 1 hour of child development training. Correction: Immediately review all staff files and ensure all files contain at least 1 hour of child development training. Submit a copy of the training certificate and a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.N · 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.

At the time of the visit, reviewed the director's file (Lori M) and observed the CDPHE immunization course had expired on 10/3/2023. Correction: Immediately have all staff responsible for the immunization records complete the CPDHE course. Submit a copy of the training certificate and a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Category: health medication. 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;

In the toddler bathroom, observed the cabinet under the diaper changing table was unlocked and contained FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the diaper changing supplies making it accessible to children. Correction: Immediately ensure all diaper-changing supplies are inaccessible to children. Submit pictures and a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

Marked corrected in the state record.

2.229.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.

Outside of the toddler bathroom, there was a three drawer plastic cabinet. The top drawer contained plastic bottles of paint that stated to that it was a choking hazard for children under 3 years of age. Correction: Immediately ensure all items stating that they are a choking hazard are made inaccessible to children. Submit a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

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

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

During the safety walk-through of the infant room, observed 2 cribs with loose-fitting sheets. There were no infants sleeping in the cribs at the time of the inspection. Correction: Immediately ensure all mattresses have properly fitted sheets. Submit pictures and a written statement of compliance by 4/18/2024. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

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