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 physical was present in the file for Mary, Ashley, Sophia, Brittney, Jennifer, CeHana and Kristina. Correction: Immediately (10/16/2024) obtain current physicals and retain in staff members file. Submit verification of correction to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 completed Introduction to the Early Intervention and Preschool Special Education Programs was present in the file for Mary or Jennifer. Correction: Immediately (10/16/2024) complete the required training and retain in employee files. Submit verification to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. 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.

No current standard precautions training was present in the file for Deeba, Ashley, Ivana, Jennifer or CeHana. Correction: Immediately (10/16/2024) complete current standard precautions training and retain in staff members file. Submit verification of correction to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 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 observed in the file for Mary, Teoni, Deeba, Ashley or Sophia. Correction: Immediately (10/16/2024) complete current safe sleep training and retain in staff members file. Submit verification of correction to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: physical safety. 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.

No current shaken baby training was observed in the file for Ashley or CeHana. Correction: Immediately (10/16/2024) complete current shaken baby training and retain in staff members file. Submit verification of correction to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 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.

No current abuse training was observed in the file for Mary, Teoni, Deeba, Ashley, Jennifer, CeHana or Kristina Correction: Immediately (10/16/2024) complete current abuse training and retain in staff members files. Submit verification of correction to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

No immunization information was available in the file for any staff member at the time of the visit. Correction: Immediately (10/16/2024) obtain immunization information and retain in employee files. Submit verification to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

No verification of completed Recognizing the Impact of Bias training was present in the file for Mary. Correction: Immediately (10/16/2024) complete the required training and retain in employee file. Submit verification to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

No verification of completed Working with an Early Childhood Mental Health Consultant training was present FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ in the file for Mary. Correction: Immediately (10/16/2024) complete the required training and retain in employee file. Submit verification to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

No verification of completed Introduction to Child Care Health Consultation training was present in the file for Mary. Correction: Immediately (10/16/2024) complete the required training and retain in employee file. Submit verification to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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

2.217.A.12 · Children of the director or of staff members who attend the center and other children on the premises for supervision and care must be counted against the licensed capacity in the appropriate age groups.

Two of the Director's older (school age) children were observed to be present in the Infant Nursery. Correction: Immediately (10/16/2024) ensure that all children in attendance are properly enrolled and placed in the age appropriate classroom at all times. Submit verification of correction to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Three children's files reviewed did not have current physicals. Correction: Immediate;ly (10/16/2024) obtain current physicals and retain in children's files. Submit verification of correction to Licensing with written response no later than 10/30/2024. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

Category: ratio. Marked corrected in the state record.

2.223.D.4.b · Sleeping cots and mats must be of firm construction and in good repair.

One cot was observed to be very damaged and not suitable for use. Correction: Immediately (10/16/2024) remove damaged cot from the facility. Corrected during visit. No written response required. Correct by 10/16/2024

Corrected Corrected by Oct 16, 2024

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.

There is a nail protruding in Room 3 that presents a potential injury hazard. The nail is approximately 3 feet from the floor. In Room 3 and Infant there are floor seams missing pieces. Correction: Immediately (11/27/2023) remove nail from wall and repair floor seams in classrooms. Submit verification of correction to Licensing with written response prior to licensing and and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

2.212.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

No signed policy statements were available in the files for Latricia, Ce'Hana or Ivana. Correction: Immediately (11/27/2023) obtain signed policy statements and retain in employee files. Submit verification to Licensing with written response no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

No completed FEMA training or Department-approved training in emergency and disaster preparedness was available for Latricia or Ivana. Correction: Immediately (11/27/2023) complete required training and retain in employee files. Submit copies to Licensing with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

No immunization information was available for any staff member at the time of the visit. Correction: Immediately (11/27/2023) obtain required immunization statements and retain in employee files. Submit verification to Licensing with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

2.210.A.5 · A record must be maintained, either written or electronic, for each staff member that includes the following: Names, addresses, and telephone numbers of persons to be notified in the event of an emergency.

No emergency contact information was present in the file for Latricia, Ce'Hana or Ivana. Correction: Immediately (11/27/2023) obtain emergency contact information and retain in employee files. Submit verification to Licensing with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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.

No current physicals were available for any staff member at the time of the visit. Correction: Immediately (11/27/2023) obtain current physicals and retain in employee files. Submit verification to Licensing with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

No signed perjury statements were available for Latricia, Ce'Hana or Ivana. Correction: Immediately (11/27/2023) obtain required perjury statements and retain in employee files. Submit verification to Licensing with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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 verification of Safe Sleep training was available in the file for Ivana. Correction: Immediately (11/27/2023) complete Safe Sleep training and retain verification in employee file. Submit copy to Licensing with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: physical safety. 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.

No verification of Shaken Baby training was available in the file for Ivana. Correction: Immediately (11/27/2023) complete Shaken Baby training and retain verification in employee file. Submit copy to Licensing with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

2.229.R · The center must have enough play materials and equipment so that at any one time each child for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ which the center is licensed for can be individually involved. Separate play rooms or separate interest centers must be provided for each category of equipment required for the program. A variety of material and equipment from the following categories must be available:

The equipment and interest areas are not set up in Room 2. Correction: Immediately (11/27/2023) ensure that all required interest areas are set up in each classroom as required. Submit verification of correction with written response prior to Licensing and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

2.233.B.1 · If the infant program is in the same building as a facility caring for children of other ages, the infant program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

There is an opening in the Infant I classroom to the lobby area and also between between the Infant 1 and 2 classrooms and between the Infant 2 classroom and the interior hallway. Correction: Immediately (11/27/2023) ensure that the infant classrooms are all physically separated from other classrooms or spaces by walls and doors that are at least 8 feet in height. Submit verification of correction to Licensing with written response prior to licensing and and no later than 12/26/2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

At the time of the visit reviewed the provider's and 2 staff files, and found that Mary and Cehana were missing a copy of the FEMA or Emergency Disaster Preparedness Training certificates. Correction: Immediately ensure all files contain a current Department-approved training certificate in Emergency Disaster Preparedness or FEMA certificate. Submit a copy of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.10 · . Effective December 31, 2016 each provider, staff member or regular volunteer 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 annually and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ may count towards ongoing training requirements.

At the time of the visit reviewed the provider's and 2 staff files, and found that one file (Cehana) had an expired (7/16/2023) Shaken Baby/ Abusive Head Trauma certificate and Teani was missing a Shaken Baby/ Abusive Head Trauma certificate. Correction: Immediately ensure all files contain a current Department-approved training certificate in the Prevention of Shaken Baby/ Abusive Head Trauma. Submit a copy of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.11 · . Effective December 31, 2016 each provider, staff member or regular volunteer must complete a department-approved training about child abuse prevention, including common symptoms and signs of child abuse within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

At the time of the visit reviewed the provider's and 2 staff files, and found that one file (Cehana) had an expired (7/16/2023) Child Abuse Prevention training certificate and Teani was missing a Child Abuse Prevention training certificate. Correction: Immediately ensure all files contain a current Department-approved training certificate in Child Abuse Prevention. Submit a copy of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.32.A.4 · Prior to issuance of the license, the licensee and primary provider must complete:A State Department approved training in Standard Precautions that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and may be counted towards ongoing training requirements. This Standard Precautions training can be included as part of the Pre-Licensing training, in which case the total number of hours for Pre-licensing training required in 7.707.A1 is increased to sixteen (16) clock hours, and Standard Precautions training may count as no more than one (1) hour of the sixteen (16) clock hours; and, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the visit reviewed the provider's and 2 staff files, and found that one file (Cehana) had an expired (7/16/2023) Standard Precautions certificate and Teani and Mary are missing a Standard Precautions training certificate. Correction: Immediately ensure all files contain a current Department-approved training certificate in Standard Precautions. Submit a copy of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: ratio. Marked corrected in the state record.

7.707.32.A.9 · . Effective December 31, 2016, each provider or staff member responsible for the collection, review, and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment (CDPHE) immunization course within thirty (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

At the time of the visit reviewed the provider's and 2 staff files, and found that one file (Cehana) had an expired (7/16/2023) CDPHE Immunization course training certificate, and Teani and Mary are missing a CDPHE Immunization course training certificate. Correction: Immediately ensure all files contain a current Department-approved training certificate in CDPHE Immunization. Submit a copy of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

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

7.707.32.B.1 · Licensees requesting continuation of a permanent license shall: Complete fifteen (15) clock hours of training each year. At least three (3) of the fifteen (15) clock hours must be in social emotional development; and,

At the time of the visit reviewed two staff files and found that Teani's & Cehana's file were missing 15 clock hours of training in their files. Correction: Immediately ensure all files contain at least 15 hours of training each year, at least 3 hours of the 15 hours need to be in social-emotional development. Submit a copy of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

Category: recordkeeping. Marked corrected in the state record.

7.707.75.G · Safe Sleep Training for Family Child Care Staff All staff who work with infants must complete Department-approved safe sleep training prior to working with infants and on an annual basis.

At the time of the visit reviewed the provider's and 2 staff files, and found that one file (Cehana) had an expired (7/16/2023) Safe Sleep training certificate, and Teani and Mary are missing a Safe Sleep training certificate in their files. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure all files contain a current Department-approved training certificate in Safe Sleep. Submit a copy of the training certificates and a written statement of compliance by 8/18/2023. Correct by 08/11/2023

Corrected Corrected by Aug 11, 2023

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