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.

SM2 does not have an FBI clearance letter. When licensing specialist reviewed the video footage of the Name: Kids City USA- Cordera License Number: 1757709 injury, SM1 was leaving the classroom, leaving SM2 alone in the transitions room. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that SM2 have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter for SM2 with written response to Specialist. Correct by 03/11/2026

Corrected Corrected by Mar 11, 2026

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 (1) out of one (1) child file reviewed had an expired authorization for emergency medical care. Correction: Written authorization for emergency medical care must be updated annually. Correct immediately on 3/11/2026. Provide statement of compliance by 3/18/2026. Correct by 03/11/2026

Corrected Corrected by Mar 11, 2026

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

2.223.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.

Several cots in the transitions, preschool, & pre-k were not spaced at least two (2) feet apart during nap time. Correction: Cots must be spaced at least two (2) feet apart on all sides during rest time. Correct immediately on 3/11/2026. Provide statement of compliance by 3/18/2026. Correct by 03/11/2026

Corrected Corrected by Mar 11, 2026

Category: supervision. Marked corrected in the state record.

2.223.D.5.c · Children who do not sleep after thirty (30) minutes must be allowed to move to another area and be provided with quiet toys and equipment to play with such as puzzles or books; anp

While walking through the preschool classroom SM3 indicated the class laid down for nap at 12:15PM, at 12:53PM three (3) children were awake on their cots but not permitted to get up. FAX 303-866-4453 Phone 303-866-5948 Name: Kids City USA- Cordera License Number: 1757709 Correction: Children who do not sleep after thirty (30) minutes must be allowed to move to another area and be provided with activities. Correct immediately on 3/11/2026. Provide statement of compliance by 3/18/2026. Correct by 03/11/2026

Corrected Corrected by Mar 11, 2026

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

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

A room mist spray, with a "keep out of reach of children" label was on the floor of the staff lounge, the staff lounge door was open making accessible to children. Correction: Items labeled, "keep out of reach of children", must be inaccessible to children. Corrected at the time of visit by director closing the staff lounge door. NO RESPONSE IS REQUIRED. Correct by 03/11/2026

Corrected Corrected by Mar 11, 2026

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.

Two and a half year olds were moved up from the Two year old room into the preschool room at the time of visit. The preschool room had several chokeables accessible to children to include, marker lids, glue stick lids, and broken crayons. Correction: Toys and equipment that pose a choking hazard must not be accessible to children under three (3) years old. Correct immediately on 3/11/2026. Provide statement of compliance by 3/18/2026. Correct by 03/11/2026

Corrected Corrected by Mar 11, 2026

Category: physical safety. 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. FAX 303-866-4453 Phone 303-866-5948 Name: Kids City USA- Cordera License Number : 1757709

The two (2) staff members in the preschool room indicated that they had fourteen (14) children present. When licensing specialist counted the children and reviewed the name to face verification sheet, it was determined the classroom only had thirteen (13) children present. Correction: Periodic attendance must be completed throughout the day. Correct immediately on 3/11/2026. Provide statement of compliance by 3/18/2026. Correct by 03/11/2026

Corrected Corrected by Mar 11, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

Licensing specialist observed SM1 lifting a toddler up from the floor by one arm. CH1 was not putting their feet down on the ground and was suspended in the air for a short period, picking children up this way could result in an injury to child. Correction: Staff must demonstrate knowledgeable concern fro the proper care and well-being of children. Submit written statement of compliance to licensing specialist. Correct by 06/06/2025

Corrected Corrected by Jun 6, 2025

Marked corrected in the state record.

2.217.A.10.a · At nap time, the child to staff ratio may be doubled for children two and one half (2 ½) years of age and older in preschool classrooms when the following conditions have been met: At least half of the children are sleeping;

Licensing specialist walked into the preschool room where there were 13 children and one teacher during the end of nap. Licensing specialist observed 6 children awake and the second person was not back from their break yet. Correction: At nap time the staff to child ratio can be doubles as long as half the class is asleep. Corrected at the time of visit by Samantha, the teacher calling in a second staff member. Nothing additional needed. Correct by 06/06/2025

Corrected Corrected by Jun 6, 2025

Category: ratio. Marked corrected in the state record.

2.223.D.5.d · Children who fall asleep must be allowed to leave their napping area within ten (10) minutes of waking.

Licensing specialist observed six (6) children awake laying on their cots in the preschool classroom and not being allowed to leave their nap area. Correction: Children must be able to leave their napping area within ten (10) minutes of waking up. Corrected at the time of visit by Samantha allowing the kids to get up and get books. Submit written statement of compliance to licensing specialist. Correct by 06/06/2025

Corrected Corrected by Jun 6, 2025

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

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

Chapstick was stored in an child's cubby in the Pre-K classroom. Correction: Items labeled, "keep out of reach of children" must be inaccessible at all times. Corrected at the time of visit by Megan removing the chapstick. Nothing additional needed. Correct by 06/06/2025

Corrected Corrected by Jun 6, 2025

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.

Googly eyes were glued to child art and displayed at child level in a toddler classroom. Correction: Chokeables must be inaccessible to children under the age of three (3) years old. Corrected at the time of visit by Ann taking the googly eyes off. Nothing additional needed. Correct by 06/06/2025

Corrected Corrected by Jun 6, 2025

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

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Several three (3) and four (4) years were in the twos rooms which is licensed for children ages 2.5 -3 years old. Correction: Rooms licensed for specific age groups cannot be used for other ages without written approval from licensing. Submit written statement of compliance to licensing specialist. Correct by 06/06/2025

Corrected Corrected by Jun 6, 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.

Shaelee T., and Noelle H., had not yet submitted health statements to the center. Correction: Staff must submit a statement of health signed and dated by a health care provider within thirty (30) days of hire. Correct by 11/16/2024

Corrected Corrected by Nov 16, 2024

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.

Abby G., had an expired Standard Precautions training. Correction: Staff must annually complete a department-approved standard precautions training. 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.

Anya S., and Abby G., had expired child abuse prevention trainings. Correction: Staff must annually complete a department-approved training about child abuse prevention. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

One (1) out of twelve (12) child files reviewed had a health statement but it was not signed and dated by a health care professional. Correction: Parents must annually submit a health statement for their enrolled child that is signed and dated by a health care professional. Correct by 11/16/2024

Corrected Corrected by Nov 16, 2024

Category: ratio. Marked corrected in the state record.

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

Wipes were accessible to children in the Transitions, Preschool, & Pre-K rooms. Sunscreen aquaphor, and lotion were also accessible to children in the Preschool rooms. All items were labeled, "keep out of reach of children." Correction: Items labeled keep out of reach of children must be inaccessible to children at all times. Corrected at the time of visit by the staff in each classroom removing the items and making them inaccessible. Nothing additional needed.

Open Not marked corrected in the state record

Open / not marked corrected.

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

Loose grocery bags were accessible to children in the Twos and Pre-K rooms. Correction: Loose plastic bags must be stored inaccessible to children. Corrected at the time of visit by the staff removing the bags and making them inaccessible. Nothing additional needed. Correct by 10/17/2024

Corrected Corrected by Oct 17, 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.

Marker lids, dot marker lids & small broken crayons were accessible to children under three in the Transition and Two's rooms. Correction: Materials accessible to children under three (3) must not pose a choking hazard. Corrected at the time of visit by staff removing the chokeable items. Nothing additional needed. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

A long yellow cut wire was accessible to children on the preschool playground. The cloth ground covering that lays under resilient surfacing was exposed in several spots on the preschool playground, which could pose as a tripping hazard. Additionally, a gap measuring 6 3/4 inch between the ground and fence, separating the preschool and toddler playground could pose an entrapment hazard was observed. Correction: All outdoor play ares must be kept safe and free of hazard. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

A gate on the toddler playground is positioned over a water drainage area, the bottom of the fence has a gap from the bottom of the fence to the ground measuring at 7.5 inches which could pose an entrapment hazard. Correction: Immediately ensure that the outdoor play area is kept safe and free from hazard, and high-risk areas are made inaccessible to children. Provide statement of compliance by 2/11/2024. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

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

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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:

Jedyne J. and Alyssa R., were working together in the Twos Classroom and Ja'miaha T. and Abby G., were FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ working together in the Preschool room, All four (4) staff members are awaiting out of state clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Jedyne J., Alyssa R., Ja'miaha T., and Abby G. have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff members Jedyne J., Alyssa R., Ja'miaha T., and Abby G. with written response to Specialist. The director moved staff around during the course of the inspection to ensure there was a fully background checked staff member in each room. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: supervision. Marked corrected in the state record.

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.

One (1) out of eighteen (18) child files had an expired health statement. Correction: Ensure that within thirty (30) days of expiration that a health statement signed and dated by a health care professional is submitted to the center. Provide documentation and statement of compliance by 2/11/2024. Correct by 02/11/2024

Corrected Corrected by Feb 11, 2024

Category: ratio. Marked corrected in the state record.

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

The expiration date on a container of a emergency medication did not match the expiration date on the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ emergency medication stored inside. Correction: Immediately ensure that medications are kept in their originally labeled container. Provide statement of compliance by 2/11/2024. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Category: ratio. Marked corrected in the state record.

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

Wipes labeled keep out of reach of children were accessible to children in the Transitional Twos room, as well as the Preschool room. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Corrected at the time of visit by the staff removing the wipes and putting them in inaccessible locations. Nothing additional needed. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Marked corrected in the state record.

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

A large loose plastic bag was observed on a low shelf in the Preschool room. Correction: Immediately ensure that loose plastic bags are stored inaccessible to children. Corrected at the time of visit by the staff member in the classroom removing the plastic bag. Nothing additional needed. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Marked corrected in the state record.

2.229.R.7 · A variety of material and equipment from the following categories must be available: Music

Musical instruments were not observed in the Twos classroom, additionally, staff stated they did not have any in their room. Correction: Ensure that a variety of materials including musical materials are accessible in each classroom. Corrected at the time of visit by the director providing the classroom with musical instruments. Nothing additional needed. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

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

2.237.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

A Swiffer mop with a plastic bottle of floor cleaner was observed hanging low on the wall in the Preschool room. Correction: Immediately ensure that cleaning compounds are inaccessible to children. Corrected at the time of visit by moving the Swiffer mop making it inaccessible to children. Nothing additional needed. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

The kitchen door was observed open while children were passing through the hallway were the kitchen is, making it accessible to children. Correction: Immediately ensure that the kitchen and hazardous items are inaccessible to children at all times. Corrected at the time of visit by the cook closing the kitchen door. Nothing additional needed. Correct by 01/12/2024

Corrected Corrected by Jan 12, 2024

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

7.702.64.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

Identified through staff statements SM1 using harsh tones and yelling at children for discipline verses taking the opportunity to teach problem solving and self regulations. Identified through staff statements SM1 yells or shouts "NO don't do that" or "Stop doing that" which startles children and staff. Correction: Facility will develop an action plan for discipline compliance. Submit written response to specialist. Correct immediately. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: supervision. Marked corrected in the state record.

7.702.31.B.8.a · The center’s procedure on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting children with challenging behaviors, including how the center will: Promote responsive and positive child, staff, and family relationships and interactions.

SM1 did not follow facility policy and procedures regarding positive discipline. Reviewed facility discipline FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ policy that states Positive Discipline should communicate by getting down on the child's eye level and talking to them in a calm, quiet manner about what behavior is expected. SM1 signed statement of understanding on 4/1/23. Correction: Facility will submit a plan of action for discipline compliance. Correct immediately. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: supervision. 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.

One out of three children records reviewed to have an expired health statement on 5/15/23. One out of three children records reviewed to be missing health statements in accordance with the American Academy Pediatrics for children under two schedule. Correction: Obtain and update children files with required documentation. Submit written response to specialist. Correct by 08/17/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Aug 17, 2023

Category: ratio. Marked corrected in the state record.