2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

At the time of inspection, reviewed twelve (12) children's files, revealing two (2) of the files with expired emergency medical authorizations. Correction: Immediately, (6/27/2025), review all children's files and ensure all children have a current emergency medical care authorizations. Submit written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 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 FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: L_IT_TL_E_ S_U_NS_H_IN_E_'S_ P_LA_Y_HO_U_S_E_ A_ND_ P_R_E_SC_H_O_LOic_Le_ns_e _Nu_m_b_er _: 1_6_45_67_0______ ________________________________________________ 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.

At the time of inspection, reviewed twelve (12) children's files, revealing seven (7) of the files with expired health care statements. Correction: Immediately, (6/27/2025), review all children's files and ensure all children have a current health care statement. Submit written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: ratio. Marked corrected in the state record.

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

At the time of visit, observed in the two's classroom bathroom, a shelf with accessible diapering supplies, stacked and staged on a shelf. Correction: Immediately, (6/27/2025), ensure all diaper changing supplies have a place inaccessible to children. Submit a written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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.

At the time of visit, observed in room #110 and room #114 children's cots placed less than two (2) feet apart. Correction: Immediately, (6/27/2025), ensure all cots and cribs have two (2) feet of space that is free from obstruction on each side. Submit a written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

At the time of visit, observed in infant classroom 1, babies on their backs, that have heads flat on the floor, inside of boppies, feeding themselves. FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: L_IT_TL_E_ S_U_NS_H_IN_E_'S_ P_LA_Y_HO_U_S_E_ A_ND_ P_R_E_SC_H_O_LOic_Le_ns_e _Nu_m_b_er _: 1_6_45_67_0______ ________________________________________________ Correction: Immediately, (6/27/2025), ensure all infants are not allowed to hold their own bottles when lying flat. Submit a written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Marked corrected in the state record.

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

At the time of visit, observed in the infant 2 classroom, a cabinet unlocked, revealing a bottle of windex original, lysol air sanitizer, febreze air mist, sanitizer and disinfectants, accessible to children. Correction: Immediately, (6/27/2025), ensure all items labeled "keep out of reach of children" are inaccessible to children. Submit a written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 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.

At the time of visit, observed, a small gold button, smaller than a dime, on the floor in room #114. Correction: Immediately, (6/27/2025), ensure choking hazards are inaccessible to children under the age of 3. Submit a written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 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.

At the time of visit, observed the large playhouse on the preschool playground with peeling paint and splintered wood, causing potential hazard to children. Correction: Immediately, (6/27/2025), ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazard. Submit a written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

2.229.M · Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age.

At the time of visit, observed a glass weather gauge in the infant 1 classroom and glass vases in room #114. Correction: Immediately, (6/27/2025), ensure all glass or easily breakable plastic is not permitted for children less than five (5) years old. Submit a written statement of compliance by 7/11/2025. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

No signed statement regarding having read and understanding the licensing rules was available for Brylee, Aerionna, Lyuba or Aliyah. Correction: Immediately (07/26/2024) obtain signed statements and retain in employee files. Corrected during visit. No written response is required. Correct by 07/26/2024

Corrected Corrected by Jul 26, 2024

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.

The standard precautions training available for Anna is expired. Correction: Immediately (07/26/2024) complete current standard precautions training and retain in employee file. Submit copy of certificate to Licensing with written response no later than 08/09/2024. Correct by 07/26/2024

Corrected Corrected by Jul 26, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

No current safe sleep training was available for Anna. The training in the file is expired. Correction: Immediately (07/26/2024) complete current safe sleep training and retain in employee file. Submit copy of certificate to Licensing with written response no later than 08/09/2024. Correct by 07/26/2024

Corrected Corrected by Jul 26, 2024

Category: physical safety. 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.

Two children's files reviewed had physicals that were expired. Correction: Immediately (07/26/2024) obtain current physicals and retain in children's files. Submit verification of correction to Licensing with written response no later than 08/09/2024. Correct by 07/26/2024

Corrected Corrected by Jul 26, 2024

Category: ratio. Marked corrected in the state record.

7.701.34.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 fire inspection is expired. Correction: Immediately (08/29/2023) obtain a current approving fire inspection. Submit copy to Licensing with written response no later than 09/12/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.702.41.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 FAX 303-866-4453 Phone 303-866-5948 N_a_m_e _: L_IT_TL_E_ S_U_NS_H_IN_E_'S_ P_LA_Y_HO_U_S_E_ A_ND_ P_R_E_SC_H_O_LOic_Le_ns_e _Nu_m_b_er _: 1_6_45_67_0______ ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

One staff member's file did not have a current physical. Correction: Immediately (08/29/2023) obtain a current physical and retain in employee file. Submit verification to Licensing with written response no later than 09/12/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.702.42.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 verification of completed child abuse training was present in the file for Brittany. Correction: Immediately (08/29/2023) complete current child abuse training and retain verification in employee file. Submit copy of certificate to Licensing with written response no later than 09/12/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.62.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 were not spaced at least two feet apart on all sides in 4 classrooms. Correction: Immediately (08/29/2023) ensure that nap cots are spaced at least two feet apart on all sides during nap time. Submit written verification of correction to Licensing no later than 09/12/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: supervision. Marked corrected in the state record.

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

A pair of sharp adult scissors was accessible in a basket on the counter in the 3 year old classroom. Correction: Immediately (08/29/2023) ensure that all sharp tools and instruments are stored so that they are inaccessible to children. Submit written verification of correction to Licensing no later than 09/12/2023. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Marked corrected in the state record.