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.

No current child abuse training was present in the file for Diana S. Correction: Immediately (07/16/2025) complete current child abuse training and retain verification in file. Submit copy of certificate to Licensing with written response no later than 07/30/2025. Correct by 07/16/2025

Corrected Corrected by Jul 16, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ once and will be counted towards ongoing professional development.

No completed Introduction to the Early Intervention and Preschool Special Education Programs training was present in the file for Diana S. Correction: Immediately (07/16/2025) complete current Early Intervention and Preschool Special Education Programs training and retain verification in file. Submit copy of certificate to Licensing with written response no later than 07/30/2025. Correct by 07/16/2025

Corrected Corrected by Jul 16, 2025

Category: recordkeeping. 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;

The authorization for emergency medical care in one child's file reviewed was expired. Correction: Immediately (04/08/25) obtain current authorization for emergency medical care and retain in child's file. Submit copy to Licensing with written response no later than 04/15/25. Correct by 04/08/2025

Corrected Corrected by Apr 8, 2025

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 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 or subsequent medical statements were present in the files for Magan, Joann, Erin, Reyshawn, Jessica, Kasey or Shereese. Correction: Immediately (02/20/2025) obtain current physicals or subsequent medical statements as applicable and submit verification to Licensing with written response no later than 03/06/2024. Correct by 02/20/2025

Corrected Corrected by Feb 20, 2025

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

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

No current Safe Sleep training was present in the file for T'la who was present in the Infant Nursery at the time of the visit. Correction: Immediately (02/20/2025) complete current Safe Sleep training and submit verification of completed training to Licensing with written response no later than 03/06/2024. Correct by 02/20/2025

Corrected Corrected by Feb 20, 2025

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.

No current Child abuse training was present in the file for Kasey D. Correction: Immediately (02/20/2025) complete current Child Abuse training and submit verification of completed training to Licensing with written response no later than 03/06/2024. Correct by 02/20/2025

Corrected Corrected by Feb 20, 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.

No Introduction to the Early Intervention and Preschool Special Education Programs training was available for Kasey D. Correction: Immediately (02/20/2025) complete required training and submit verification of completed training to Licensing with written response no later than 03/06/2024. Correct by 02/20/2025

Corrected Corrected by Feb 20, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 available for Kasey D. Correction: Immediately (02/20/2025) complete required training and submit verification of completed training to Licensing with written response no later than 03/06/2024. Correct by 02/20/2025

Corrected Corrected by Feb 20, 2025

Category: recordkeeping. Marked corrected in the state record.

2.223.D.4 · In the toddler room, a crib, sleeping cot, or two (2) inch mat must be provided for each child, and there must be a minimum of two (2) feet between each crib or cot. Aisles between cots or cribs must be kept free of all obstructions while cribs are occupied. No child less than the age of two (2) years should use a cot for sleeping without written permission of the parent or guardian.

Some of the nap cots in the Toddler II classroom were spaced closer than two feet apart during nap. Correction: Immediately (02/20/2025) ensure that nap cots are spaced at least two feet apart. Corrected during visit by staff member repositioning cots. No written response is required. Correct by 02/20/2025

Corrected Corrected by Feb 20, 2025

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

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

A review of the attendance sheets for 10/25/2024 indicated that the 3 year old classroom had 22 children at times between 4:20 and 5:59 PM. Assistant Director, Magan Smith, stated that several children had been moved to another classroom, leaving only 9 children in the room. Magan stated that this information was not properly reflected on the attendance sheets as the staff member in the classroom did not know how to properly mark when children were moved. Classroom was still out of ratio for the children present (2 1/2 years to 3 years) Correction: Immediately (11/08/2024) ensure that staff to child ratios are met and maintained at all times and that classroom attendance is properly documented at all times. Submit verification of corrections to Licensing with written response no later than 11/22/2024. Correct by 11/08/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Nov 8, 2024

Category: ratio. Marked corrected in the state record.

2.122.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 most recent health and fire inspections available at the facility are expired. Correction: Immediately (11/08/2024) obtain current approving health and fire inspections. Submit copies to Licensing with written response no later than 11/22/2024. Correct by 11/08/2024

Corrected Corrected by Nov 8, 2024

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

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

On arrival two staff members were observed supervising a mixed age group of 23 children between 2 1/2 years through 4 years. The staff to child ratio for this age range is 1:10. Observed one staff member alone with 6 Toddler I age children Correction: Immediately (10/2/2024) ensure that staff to child ratios are not exceeded at any time. Submit verification of correction to Licensing with written response no later than 10/09/2024. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

Category: supervision. Marked corrected in the state record.

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

No information on how to file a complaint was posted at the facility at the time of the visit. Correction: Immediately (10/2/2024) conspicuously post information on how to file a complaint so that it is prominent and easily visible. Submit verification of correction to Licensing with written response no later than 10/09/2024. Correct by 10/02/2024 ________________________________________________

Corrected Corrected by Oct 2, 2024

Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

The three year old room had 23 children between 2 1/2 to 4 years of age which exceeded the maximum group size. Correction: Immediately (10/2/2024) ensure that maximum group sizes for age of children in care are not exceeded at any time. Submit verification of correction to Licensing with written response no later than 10/09/2024 Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

Category: ratio. Marked corrected in the state record.

2.216.F.1 · Equally qualified staff must be available to substitute for regularly assigned staff who are sick, on vacation, or otherwise unable to be on duty.

Five parents with infants to be dropped off at the facility were required to wait in the lobby with their children for a significant period of time because there was not a second staff member available for the infant room. The second staff person assigned to the classroom was absent and there was no substitute. Correction: Immediately (10/2/2024) ensure that sufficient qualified staff are available to accept scheduled children arriving for care. Submit verification of correction to Licensing with written response no later than 10/09/2024. Correct by 10/02/2024

Corrected Corrected by Oct 2, 2024

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 recently expired. Correction: Immediately (03/26/2024) obtain current authorization for emergency medical care and retain in child's file. Submit verification of correction to Licensing with written response no later than 04/09/2024. Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

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

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.

The shaken baby training in the files for Emily and Joann is expired. Correction: Immediately (03/26/2024) complete current shaken baby training and retain in employee files. Submit

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

No current child abuse training was observed in the file for Diana. Correction: Immediately (03/26/2024) complete current child abuse training and retain in employee file. Submit verification of correction to Licensing with written response no later than 04/09/2024. Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

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.

No verification of completed Introduction to the Early Intervention and Preschool Special Education training was present in the file for Diana. Correction: Immediately (03/26/2024) complete the required training and retain in employee file. Submit verification of correction to Licensing with written response no later than 04/09/2024. Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

Category: recordkeeping. 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.

Nap cots in the 4 year old classroom were not spaced at least two feet apart on all sides as required. Some cots were as close as 4 to 6 inches on some sides. Correction: Immediately (03/26/2024) ensure that all nap cots are at least 2 feet apart on all sides during nap time. Submit verification of correction to Licensing with written response no later than 04/09/2024. Correct by 03/26/2024

Corrected Corrected by Mar 26, 2024

Category: supervision. Marked corrected in the state record.

7.702.31.B.22 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for diapering, toilet training, and toileting.

Per receipt of written notification from and discussion with Ashley Richardson, Assistant Director, confirmed that an incident occurred where a child did not receive any diaper change at all during the day while they were in attendance. Correction: Immediately (07/27/2023) ensure that facility implements and follows the established diaper changing protocols for all children who require diapering while at the facility and that accurate records of diaper changes are maintained. Corrected prior to visit by facility posting diaper change schedules in classrooms and having Director and Assistant Director walk through the classrooms at scheduled diapering times to verify changes are being done and documented.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.