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

There were 3 cans of wall paint and sanitizing spray accessible to children in the unlocked staff lounge. This is a violation of stipulations N: Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Corrected at the time of inspection. The acting assistant director removed the wall paint and sanitizing spray and placed it in a locked closet.A written response is not required. Correct by 06/05/2026

Corrected Corrected by Jun 5, 2026

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

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

There were two large rugs rolled up and standing on end in the ball room posing a safety hazard to children. This is a violation of stipulations N: Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Corrected at the time of inspection. The rugs were removed from the ball room by the acting assistant director. A written response is not required. Correct by 06/05/2026

Corrected Corrected by Jun 5, 2026

Category: physical safety. 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.

There was a fabric pom-pom that poses a choking hazard accessible to children in the Toddler B classroom. The sensory bin accessible to children in the DPS classroom was filled with dry shell-shaped pasta that poses a choking hazard. This is a violation of stipulation N - Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Corrected at the time of inspection. The pom pom and the dry shell-shaped pasta was removed from the Toddler B and DPS classrooms. A written response is not required. Correct by 05/14/2026

Corrected Corrected by May 14, 2026

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

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

There was a lock and latch activity board labeled for children 3 years old and up accessible to children in the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Infant B classroom. This is a violation of stipulation N - Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Corrected at the time of inspection. The activity board was removed from the infant classroom and placed in the preschool classroom. A written response is not required Correct by 05/14/2026

Corrected Corrected by May 14, 2026

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:

Reviewed 3 staff files. 1 staff (start date 1/26/26) did not have documentation that the State-based background check request has been submitted. Correction: Immediately, the state-based background check request must be submitted and successfully completed for each state an individual has resided in within the past 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member 1 has reviewed the powerpoint within 24 hours. Submit documentation of the state-based clearance letter with a written statement of compliance by 4/16/26. Correct by 04/09/2026

Corrected Corrected by Apr 9, 2026

Category: supervision. 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.

There were pom pom's that pose a choking hazard accessible to children in a sensory bucket in the Toddler A classroom that pose a choking hazard. There was a cotton ball in the hallway outside of the 2 year old and preschool FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ classrooms. Correction: Immediately, any area of the facility accessible to children less than 3 years old must be free of any choke or inhalation hazard. Submit a written statement of compliance by 4/16/26. Correct by 04/09/2026

Corrected Corrected by Apr 9, 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.

There was ibuprofen accessible to children in an unlocked drawer in the front lobby. There was sanitizing spray accessible to children in an unlocked cupboard in the enrichment room and the unlocked staff lounge in the hallway/ball room area of the school. Correction: Corrected at the time of inspection. The ibuprofen was placed in a cupboard that is out of reach of children and the sanitizing spray was placed in a locked cupboard. A written response is not required. Correct by 04/09/2026

Corrected Corrected by Apr 9, 2026

Marked corrected in the state record.

2.223.A.3 · Staff must be awake, alert, and actively supervising all children.

1 staff member on the Preschool playground was standing at the fence with their back facing the children while talking to teachers on the other playground while a child was upset and crying on the playstructure. The other teacher was sitting at a picnic table speaking to another child. Correction: Immediately, staff must actively supervise children at all times. Submit a written statement of compliance by 4/16/26. Correct by 04/09/2026

Corrected Corrected by Apr 9, 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; and

Multiple children in the PreK classroom who did not fall asleep during nap time were made to lay on their cots without any activities from 12:30pm to 1:45pm. Correction: Immediately, children who do not sleep after 30 minutes must be allowed to move to another area and be provide with quiet toys and equipment to play with. Submit a written statement of compliance by 3/27/26. Correct by 03/20/2026

Corrected Corrected by Mar 20, 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.

The laundry room closet in the infant/toddler hallway was unlocked and cleaning chemicals were accessible to children. A staff purse, lotion and hand sanitizer was accessible to children in an unlocked drawer in the front lobby. There was a bottle of cough medication and Pepto bismal accessible to children in an unlocked drawer in the directors desk, located off of the lobby in an unlocked office. Previously cited on 1/3/24, 4/12/24, 5/23/24, 10/24/24, 11/20/24, 8/14/25, 9/22/25 2/19/26 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Corrected at the time of inspection. The acting director locked the laundry room door and removed all other items and placed them in a cupboard inaccessible to children. A written response is not requierd. Correct by 03/20/2026

Corrected Corrected by Mar 20, 2026

Category: health medication. 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.

There were small felt pieces, broken crayons and cotton balls that pose a choking hazard accessible to children in the Preschool classroom with 2 1/2 year olds present. Previously cited on 1/3/24, 9/22/25, 10/16/25 Correction: Corrected at the time of inspection. The items that pose a choking hazard were removed from the classroom and placed in the cupboard inaccessible to children. A written response is not required. Correct by 03/20/2026

Corrected Corrected by Mar 20, 2026

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

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

The Toddler A classroom being used by 5 toddlers had a floor temperature of 54 degrees. Correction: Immediately, the building must be kept in good repair and maintained in a safe condition. Submit a written plan and statement of compliance for the Toddler A classroom by 1/27/26. Correct by 01/20/2026

Corrected Corrected by Jan 20, 2026

Marked corrected in the state record.

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

The kithcne door in the preschool hallway was proped open. Correction: Corrected at the time of inspection. The kitchen door was closed. A written response is not required. Correct by 01/20/2026

Corrected Corrected by Jan 20, 2026

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

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Identified through staff statement that a 3 year old child was left unsupervised in the Preschool classroom for less than 1 minute on 8/22/25. Correction: Immediately, children must be under the direct supervision of a qualified adult at all times. Submit a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Category: supervision. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

SM4 is qualified as an aide. and was working alone in the infant B classroom when licensing arrived. Correction: Immediately, there must be a qualified ECT supervising each group of children unless otherwise specified in rules. The Director went into the infant B classroom as the qualified ECT. Submit a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children.

Reviewed 22 staff files. SM18 and SM22 did not have documentation of the Trails abuse and neglect clearance letter. Correction: Immediately, complete and obtain the Trails clearance letter for SM18 and SM22. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 18 and 22 have reviewed the powerpoint within 24 hours. Submit documentation of the Trails clearance letter for SM18 and SM22 with a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Category: supervision. Marked corrected in the state record.

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

The lock on the changing table in Toddler A classroom was broken and wipes labeled "keep out of reach of children" were accessible. Correction: Corrected at the time of inspection. Staff placed a new child safety lock on the changing table. A written response is not required. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

There were sharp teacher scissors accessible to children in the PreK classroom. Correction: Corrected at the time of inspection. Staff removed the scissors and made them inaccessible to children.. A written response is not required. Correct by 09/22/2025

Corrected Corrected by Sep 22, 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.

There were small pieces of crayons, small wood shapes, counting blocks and counting bears that pose a choking hazard accessible to children under 3 years of age in the preschool classroom. Correction: Immediately, remove all materials that pose a choking hazard from classrooms with children under 3 years of age. Submit a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

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

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

There were small, broken pieces of plastic stamps with sharp edges in the preschool classroom. Correction: Immediately, remove broken materials from the classroom. Submit a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

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.

There were worn rugs rolled up by the brick wall on the toddler playground, posing a tripping hazard. Correction: Corrected at the time of inspection. Staff removed the worn, rolled up rugs from the toddler playground. A written response is not required. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

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

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through staff and Director statement that the facility failed to report an incident as required by statue and licensing regulations. Correction: Immediately correct and submit a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Category: ratio. 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:

Reviewed 22 staff files. SM2, SM12 and SM13 did not have documentation of the state-based clearance letter. Correction: Immediately, complete state-based background checks for staff who have lived out of state in the last 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 2, 12 and 13 have reviewed the powerpoint within 24 hours. Submit documentation of state-based clearance letters for SM2, SM12 and SM13 with a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Category: supervision. 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.

The program did not have documentation of tornado drills or lock down drills. Correction: Immediately, complete an emergency drill and tornado drill for September. Submit documentation of

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 22 staff files. SM18 did not have documentation of the FBI clearance letter. Correction: Immediately, obtain documentation of the FBI clearance letter for SM18. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member 18 has reviewed the powerpoint within 24 hours. Submit documentation of the FBI clearance letter for SM18 with a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Category: background checks. 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.

Reviewed 22 staff files. SM2 and SM6 did not have documentation of a current standard precautions training. Correction: Immediately, obtain documenation of a current standard precautions training for SM6. SM2 updated the training and submitted documentation of a current training at the time of inspection. Submit documentation and a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually.

Reviewed 22 staff files. SM2, SM4 and SM8 did not have documentation of a current child abuse training. Correction: Obtain documenation of current child abuse training for SM4 and SM8. SM2 updated the training and submitted documentation of a current training at the time of inspection. Submit documentation and a written statement of compliance by 10/21/25. Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

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.

Reviewed 22 staff files. SM1 and SM2 did not have documentation of a current immunization training. Correction: Immediately, obtain documentation of a current immunization training for SM1 and SM2. Submit documentation and a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 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.

Reviewed 22 staff files. SM8 did not have documentation of a health statement signed by the health care provider. Correction: Obtain documentation of a health statement by a health care provider for SM8. Submit a written statement of compliance by 10/21/25. Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ prior written approval of the licensing authority.

Identified through review of name-to-face records that children between the ages of two years and two and a half years old are supervised in the PreK classroom at the beginning and the end of the day. Correction: Immediately, rooms licensed for specific ages cannot be used for other ages of children. Submit a written plan and statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

Category: supervision. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 7 child files. 3 child files did not have immunization status recorded on the certificate of immunization. Correction: Immediately, immunization status must be updated and recorded on the CDPHE approved certificate of immunization. Submit a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

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

2.206.C · Policies and procedures must be reviewed annually. Any changes must be incorporated and must be communicated to the parent(s)/guardian(s).

Reviewed 7 child files. 2 child files did not have documentation of a current policies and procedures statement. Correction: Obtain documentation that parents have reviewed the policies and procedures statement annually. Submit a written statement of compliance by 10/21/25. Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

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;

Reviewed 7 child files. 3 child files did not have documentation of a current authorization for emergency medical care. Correction: Immediately, obtain authorization for emergency medical care for each child annually. Submit a written statement of compliance by 10/21/25. Correct by 09/22/2025

Corrected Corrected by Sep 22, 2025

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

2.223.A.3 · Staff must be awake, alert, and actively supervising all children.

At the time of inspection, observed two toddlers playing in the sink located in the bathroom of the DIscovery Preschool classroom and a child climbing on a play kitchen set while teachers were facing each other at the changing table. Correction: Immediately, staff must actively supervise children at all times. Submit a written plan and statement of compliance by 8/28/25. Correct by 08/14/2025 ________________________________________________

Corrected Corrected by Aug 14, 2025

Category: supervision. Marked corrected in the state record.

2.204.B.4 · A “toddler program” provides care for children between the ages of twelve (12) months (when walking independently or with a health care provider’s statement indicating developmental appropriateness of placement in a toddler program) and thirty-six (36) months.

A child in the Toddler classroom is not walking and does not have a letter from a health care provider indicating that it is developmentally appropriate of placement in a toddler program. Correction: Immediately, obtain documentation of a health care providers statement for children enrolled in the toddler program and are not yet walking. Submit a written statement of compliance by 8/28/25. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

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

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 1 child file. 1 child file did not have documentation of immunizations status. Correction: Immediately, obtain documentation of immunization status for each child prior to admission. Submit a written statement of compliance by 8/28/25. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

Category: health medication. 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.

Reviewed 1 child file. 1 child file did not have documentation of a current health statement. Correction: Obtain documentation of a health statement signed by a health care provider within 30 days of admission. Submit a written plan and statement of compliance by 8/28/25. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

Category: ratio. Marked corrected in the state record.

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

There was a staff purse accessible to children in an unlocked cupboard in the infant A classroom. There were diaper wipes labeled "keep out of reach of children" in the bathroom of the Discovery Preschool program. Correction: Corrected at the time of inspection. The cupboard was locked and the wipes were removed from the bathroom and placed inaccessible to children. A written response is not required. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

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.

There was a used, rubber plastic glove on the ground and a folded, torn stroller on the toddler playground. There was a pile of deflated, rubber water floaties, and two upside down cots on the preschool playground. Correction: Corrected at the time of inspection. All items listed were removed from the toddler and preschool playground. A written response is not required. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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.

The lock on the toddler room changing table was broken, leaving diaper wipes and diaper creams accessible to children. Correction: Corrected at the time of inspetion. Staff placed a new lock on the diaper changing table, making the diaper wipes and diaper creams inaccessible to children. A written response is not required. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 5 child files. 1 child file did not have documentation of up-to-date school-required immunizations and 1 child file did not have documentation of an immunization record. Correction: Immediately, obtain up-to-date school-required immunizations for all children and ensure immunizations are recorded and updated on a CDPHE approved certificate of immunization. Submit a written statement of compliance by 11/23/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: health medication. 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.

Reviewed 5 child files. 2 child files did not have documentation of a current health statement. Correction: Obtain a current health statement signed by a healthcare provider for all children within 30 days of admission

Open Not marked corrected in the state record

Category: ratio. 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;

Reviewed 5 child files. 2 Child files did not have documentation of a current authorization for emergency medical care. Correction: Immediately, obtain a written authorization for emergency medical care for all children prior to admission and update annually. Submit a written statement of compliance by 11/23/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.206.C · Policies and procedures must be reviewed annually. Any changes must be incorporated and must be communicated to the parent(s)/guardian(s).

Reviewed 5 child files. 2 child files did not have documentation of a current policies and procedures acknowledgment. Correction: Review child files and ensure that the policies and procedures are reviewed annually. Submit a written statement of compliance by 11/23/24. Correct by 11/23/2024

Corrected Corrected by Nov 23, 2024

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

The center did not have documentation of drill logs. Correction: Immediately, ensure a record of all emergency drills held over the last 12 months are maintained by the center. Submit documentation and written statement of compliance by 11/23/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 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.

Reviewed 14 staff files. Bennay O and Courtney C did not have documentation of a health statement signed by a health care provider. Correction: Obtain health statements for Bennay O and Courtney C. Submit documentation and a written statement of compliance by 11/23/24. Correct by 11/23/2024

Corrected Corrected by Nov 23, 2024

Category: health medication. 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:

Reviewed 14 staff files. Jocelin H, Courtney C and Andrew H did not have documentation of a state-based clearance letter and were working with other staff that do not meet all background check requirements. Correction: Immediately, obtain the State-based clearance letter for required staff prior to allowing the individual unsupervised access to children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Jocelin H, Courtney C and Andrew H have reviewed the powerpoint within 24 hours. Submit documentation of State-based clearance letter for Jocelin H, Courtney C and Andrew H with a written statement of compliance by 11/23/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: supervision. Marked corrected in the state record.

2.120.C.1.a.1 · 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: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed 14 staff files. Emily S did not have documentation of the Trails clearance letter and was working with another individual that has not completed all background checks. Correction: Immediately, ensure individuals who have successfully completed CBI and FBI record check are supervised at all times by an individual who has successfully completed all required background checks. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Emily S has reviewed the powerpoint within 24 hours. Submit documentation of Trails clearance letter for Emily S and a written statement of compliance by 11/23/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: supervision. 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.

Observed one prescription emergency medication to be missing its original containter and pharmacy label. Correction: Immediately obtain medication in original labeled container with pharmacy label. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: health medication. 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.

Reviewed 7 child files and observed 1 to be missing documentation of a health statement and 2 to have expired health statements. Correction: Obtain documentation of current health statements for children. Correct by 02/03/2024

Corrected Corrected by Feb 3, 2024

Category: ratio. 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.

Observed the following items on display in the lobby and the hallways accessible to children under 3 years of age posing a potential choking hazard: pom pom balls, cotton balls, plastic google eyes, foam piece stickers. Correction: Immediately make all items that pose a potential choking hazard inaccessible to children under 3 years of age. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

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 bottle of hand sanitizer in the lobby on the coffee bar, a bottle of multi purpose cleaner in an unlocked staff room on a table, and cleaning supplies in the unlocked utility room all labeled "keep out of reach of children" were accessible to children at the time of inspection. Correction: Immediately make all items labeled "keep out of reach of children" inaccessible to children. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

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.

Reviewed 11 staff files and observed Cinthia to be missing documentaiton of FBI and Trails clearance. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Cinthia has reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance with written response. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: supervision. 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.

Reviewed 11 staff files and observe Cassidy, Erica M, and Erica T to be missing documentation of child FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ development training. Correction: Obtain documentation of child development training for staff. Correct by 02/03/2024

Corrected Corrected by Feb 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Reviewed 11 staff files and observed Jaden to be missing 15 hours of ongoing annual training. Correction: Obtain documentation of 15 hours of ongoing training for staff annually. Correct by 02/03/2024

Corrected Corrected by Feb 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

At the time of inspection specialist observed Cassidy to be alone supervising 10 children in the preschool room. Reviewed Cassidy's file and found no documentation of ECT qualification. Correction: Immediately ensure there is a qualified ECT with each group of children. ***Corrected at the time of inspection. Erica T went into preschool to replace Cassidy. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: supervision. Marked corrected in the state record.