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

During the safety walk through there was a bottle of gold bond lotion labeled "keep out of reach of children" on a shelf accessible to the children. This is a violation of stipulation J: Hazardous items, including items labeled "keep out of reach of chilldren," must be inaccessible to children at all times, both indoors and outside. Correction: Immediately ensure items labeled "keep out of reach of children" are inaccessible at all times. Provide a written statement of complicance by 1/24/2024. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

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

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

During the safety walk through the kindergarten teachers did not know how many children were in their classroom. This is a violation of stipulation E: At all times, staff members shall know the attendance of the classroom to which they are assigned. Facility Director shall be able to account for all children in care at the facility. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately ensure the teachers know how many children are in their care at all times. Provide a written statement of compliance by 1/24/2023. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

Marked corrected in the state record.

7.702.62.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

Marlene §, a staff aide, was working alone in the Toddler A classroom at the time of inspection. Previously cited on 2/22/23, 3/3/23 and 7/17/23. Correction: Immediately on 11/16/23, ensure that all children are under the direct supervision of a qualified adult at all times. Submit documentation of a qualified ECT forthe Toddler A classroom and a written statement of compliance by 11/30/23. Correct by 11/16/2023

Corrected Corrected by Nov 16, 2023

Category: supervision. Marked corrected in the state record.

7.701.53.B · . Pursuant to Section 19-3-304, C.R.S., any caregiver or staff member ina child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency. Phone 303-866-5948 Name : MCCOY & LITTLE JOHN CENTER License Number : 1540780

Identified the facility failed to report a reportable incident as required by statute and licensing regulations. Correction: Immediately on 11/16/23, ensure that any reasonable cause to know or suspect that a child has been subjected to abuse or neglect is immediately reported to the abuse and neglect hotline. Submit a written statement of compliance by 11/30/23. Correct by 11/16/2023 Stage Il Licensing Concern : CH1 touchedachild in the private area on multiple occasions. SM1 steps out of the classroom leaving the class. unsupervised - UNFOUNDED

Corrected Corrected by Nov 16, 2023

Marked corrected in the state record.

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

There were sharp teacher scissors accessible to children on the window ledge in the K-before/after school classroom. Correction: Corrected atthe time of inspection. The scissors were removed and placed on a shelfthat is inaccessible to children by staff. A written response is not required. Correct by 11/16/2023 Katie Anderson

Corrected Corrected by Nov 16, 2023

Marked corrected in the state record.

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

The gate to the unattended kitchen was open and the kitchen was accessible to children during the morning drop off time. Previously cited on 9/12/23. Correction: Immediately on 11/7/23, ensure that the kitchen and all hazardous items are inaccessible to children at all times. Submit a written statement of compliance by 11/21/23. Correct by 11/07/2023

Corrected Corrected by Nov 7, 2023

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

7.702.71.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ three (3) years of age must be free of any choke or inhalation hazards.

There were small pieces of crayon accessible to children in the Toddler B classroom where children less than three years old were present, that pose a choking hazard. Correction: Immediately on 11/7/23, ensure that any area of the facility accessible to children under three years of age must be free of any choke or inhalation hazards. Submit a written statement of compliance by 11/21/23. Correct by 11/07/2023

Corrected Corrected by Nov 7, 2023

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

7.702.46.A.3 · The Director of the center must be present at the center at least sixty percent (60%) of any day that the center is open.

The facility did not have a qualified director or substitute director present sixty percent of the day. Correction: Immediately on 11/7/23, ensure that there is a director present at the center at least sixty percent of any day that the center is open. Submit documentation and a written statement of compliance by 11/21/23. Correct by 11/07/2023

Corrected Corrected by Nov 7, 2023

Marked corrected in the state record.

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

The kitchen door was open and the unattended kitchen was accessible to children during the morning drop off time. Correction: Immediately on 9/12/23, ensure that the kitchen and all hazardous items are inaccessible to children at all times. Submit a written statement of compliance by 10/11/23. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

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

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Samuel S had a state-based background checklist that stated he had not lived out of state within the last 5 years but has an Arizona drivers licensed issued 3/7/23. Samuel was driving the bus and working with children unsupervised. Correction: Immediately on 9/12/23, ensure that the state-based background check is submitted and successfully completed prior to allowing 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 member Samuel S has reviewed the powerpoint within 24 hours. Submit documentation of State-based background check clearance letter for staff member

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.702.51.A.2.c · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Statements of health status of children less than two (2) years of age must be updated in accordance with the American Academy of Pediatrics recommended schedule for routine health supervision or as required in writing by the health care provider.

Reviewed three (3) child files. One (1) child file did not have documentation of a heath status that has been updated per AAP recommended schedule. Correction: Review child files and ensure that health statements for children less than two (2) years of age must be updated in accordance with the AAP recommended schedule for routine health supervision. Submit documentation and a written statement of compliance by 10/11/23. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: supervision. Marked corrected in the state record.

7.702.43.E.1.c · Persons may be denied an original or renewal of a director letter; a director letter may be revoked if substantial evidence has been found that the applicant or director is responsible for one or more of the following at any childcare facility, including, but not limited to: Providing false information.

Samuel S signed and dated the state-based background checklist indicating he had not lived out of state within the last 5 years but has an Arizona drivers license and address with an issue date of 3/7/2023. The director, Kimberly McCoy told licensing specialist that Samuel was waiting on their Colorado issued drivers license. Correction: Immediately on 9/12/23, ensure that forms are completed and checked for accuracy to ensure information provided is true and accurate. Submit a written statement of compliance by 10/11/23. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

Category: background checks. Marked corrected in the state record.

7.702.46.A.15.f · When combining age groups, not including individual child transitions, children must be cared for in the room licensed for the youngest child in care, including the outdoor play area FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

There were two (2), 2 year old children combined in the Toddler B classroom with 6 total children from 7am to 740am and the room is licensed for children ages 2 1/2 years to 3 years of age. Correction: Immediately on 9/12/23, ensure that when combining age groups, children must be cared for in the room licensed for the youngest child in care. Submit a written statement of compliance by 10/11/23. Correct by 09/12/2023

Corrected Corrected by Sep 12, 2023

Marked corrected in the state record.

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed three (3) child files. One (1) child file did not have the immunization status updated and recorded on the CDPHE approved certificate of immunization Correction: Review child files and ensure that immunization status or exemption are updated and recorded on the CDPHE approved certificate of immunization. Submit documentation and a written statement of compliance by 10/11/23. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

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

7.702.63.A.4 · The size of servings must be suitable for the child's age and sufficient time must be allowed so that meals are unhurried.

During lunch, Toddlers were served 1/4 of a chicken sandwich and preschoolers were served 1/2 a chicken sandwich. All children were served one small portion of broccoli. Toddlers were served one small apple slice and preschoolers were served one small orange slice, less than an inch wide. Children were not provided additional servings of meal items. All children were served one muffin and a single baby carrot for snack. Correction: Immediately on 8/15/23, ensure that the size of servings during meals are suitable for the child's age. Submit a written plan and statement of compliance by 8/29/23. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Marked corrected in the state record.

7.702.72.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hazards.

A storage box and the changing table pad in the Adolescents and Babies classrooms had tears in the covering and was not sturdy. A dresser in the infant classroom was unsturdy and had broken drawers. There is a broken shelf in the 3 & 4's classroom. Correction: Immediately on 8/15/23, remove all equipment, materials and furnishings that are not sturdy, safe and free of hazards. Submit documentation and a written statement of compliance by 8/29/23. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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

7.702.71.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 crayon pieces that fit in the choke tube accessible to children in the toddler classroom. Correction: Corrected at the time of inspection. The crayons were removed from the classroom by staff. A written response is not required. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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

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

The vinyl covering on mats were open and velcro strips were coming off, exposing the torn plastic trash bags that cover the inside filling of the mat. Correction: Immediately on 8/15/23, ensure that sleeping mats are in good repair. Submit documentation and a written statement of compliance by 8/29/23. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

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

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

The attendance verification in the toddler classroom shows that the toddler classroom had seven (7) children and one (1) staff member from 730am-749am and eight (8) children and one (1) staff member from 749am-752am. Correction: Immediately on 8/15/23, ensure that staff to child ratios are maintained at all times. Submit a written plan and statement of compliance by 8/29/23. Correct by 08/15/2023

Corrected Corrected by Aug 15, 2023

Category: ratio. Marked corrected in the state record.

7.702.62.D.4.cA · fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child.

Children in the Toddler classrooms were not provided with blankets during naptime. Correction: Corrected atthe time of inspection. Staff in the toddler classrooms gave each child a blanketfor naptime. A written rasponse is not required. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Marked corrected in the state record.

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Child immunization records were not updated and recorded on the CDPHE approved certificate of immunization or exemption as required by CDPHE. Phone 303-866-5948 Name : MCCOY & LITTLE JOHN CENTER License Number : 1540780 This was previously cited on 2/21/23, 2/22/23, 7/17/23. Correction: Review child files and ensure that immunization records forall children are updated and recorded on the CDPHE approved certificate of immunization . Submit a written statement of compliance by 8/16/23. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Category: health medication. 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 mats in all classrooms were spaced less than two (2) feet apart. Correction: immediately on 7/17/23, ensure that nap mats are spaced at least two (2) feetapart on all sides during rest time. Submit a written statement of compliance by 8/16/23. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: supervision. Marked corrected in the state record.

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

There were plastic bags accessible to children in the bathroom of the Babies and Adolescents classroom. Correction: Corrected atthe time of inspection. Staff placed the plastic bags on a shelf that is inaccessibleto children. A written response is not required. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Marked corrected in the state record.

7.702.62.A4.1 · All children must be underthe direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Olivia S and ValarieA were working together in the Babies and Adolescents classroom with seven (7) toddlers and do not have documentation of ECT qualifications. Additionally, two schoolage children were observed leaving the schoolage classroom to put items in their backpacks that were hanging up in the hallway and unsupervised by their Phone 303-866-5948 Name : MCCOY & LITTLE JOHN CENTER License Number : 1540780 teacher. There were three (3) toddlers transitioning from the outside playground unsupervised in the hallway and classroom for approximately one (1) minute. Previously cited on 2/22/23 and 3/3/23. Correction: immediately on 7/17/23, ensure that children are under the direct supervision of a qualified adult who has been assigned the responsibility to supervise. Submit documentation of ECT for the Babies and Adolescents classroom and a written statement of compliance by 8/16/23. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: supervision. Marked corrected in the state record.

7.702.81.A.3 · Rooms licensed for specific ages of children cannot be used forother ages ofchildren without the priorwritten approval of the licensing authority.

There was a six (6) year old child in attendance in the Prek classroom that is licensed for children ages four (4) years to five (5) years old. Correction: immediately on 7/17/23, ensure that rooms licensed for specific ages of children cannot be used for other ages of children without prior written approval ofthe licensing authority. Submit a written statement of compliance by 8/16/23. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Marked corrected in the state record.

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

Children in the Toddler B, Prek and Schoolage classroom were not observed to move to another area to play with quiet activities. Previously cited on 2/17/23. Correction: Immediately on 7/17/23, ensure that children who do not sleep afterthirty (30) minutes must be allowed to

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.702.34.A.7 · The admission record must include: A dated, written authorization foremergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized ifrequired by the local hospital, clinic, or emergency health care facility.

Reviewed twelve (12) child files. Eight (8) child files did not have documentation of a current emergency medical authorization that has been signed and dated by a parent orguardian. Correction: Immediately on 7/17/23, ensure that each child has a current, annual written authorization for emergency medical care that has been signed and dated by a parent or guardian. Submit a written statement of compliance by 8/16/23. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

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

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/quardian(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 (2%) 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 twelve (12) child files. Three (3) children did not have documentation of a current health statement that has been signed by a health care provider. Previously cited on 1/16/21, 11/9/21 and 10/12/22 Correction: Review child files and ensure that each child has a current health statement the at is signed and dated by a health care provider within thirty (30) calendar days of admission and the health statement is updated within thirty calendar

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

7.702.51.A.2.c · At the time of admission, the parent(s)/guardian(s) must provide foreach child entering the center: Statements of health status of children less than two (2) years of age must be updated in accordance with the American Academy of Pediatrics recommended schedule for routine health supervision or as required in writing by the health care provider.

Two (2) infants did not have documentation of current health status that has been updated in accordance with the AAP recommended schedule for routine health supervision. Previsouly cited on 6/21/23. Correction: Review child files and ensure that statements of health status of children lessthan two (2) years of age must be updated in accordance with AAP recommended schedule for routine health supervision or as required in writing by the health care provider. Submit a written statement of compliance by 8/16/23. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: supervision. Marked corrected in the state record.

7.702.46.A.15 · Maximum Group Size for Children by AGES OF CHILDREN and MAXIMUM GROUP SIZE: § weeks to 18 months: 10 infants 12months to 36 months: 10toddlers 24 months to 36 months: 14toddlers 2-1/2 years to 3 years: 16 children 3 years to 4 years: 20 children 4 years to 5 years: 24 children Phone 303-866-5948 Name : MCCOY & LITTLE JOHN CENTER License Number : 1540780 5 years and older: 30 Children Mixed age group 2-1/2 to 6 years of age: 20 Children

There were fourteen (14) toddlers ages 12 months to 36 months old from two {2} classrooms present on the playground atone time, exceeding max group size forthat age group. This was previously cited on 6/29/21, 2/17/23, 2/21/23 7/17/23 Correction: immediately on 7/17/23, ensure that the maximum group size for age groups of children is maintained at all times. Submit a written playground schedule and a written statement of compliance by 8/16/23. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: ratio. Marked corrected in the state record.

7.702.63.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.

An older infant was observed laying flat on a Boppy pillow while holding and drinking their own boitie. Correction: Immediately on 7/17/23, ensure that older infants are not allowed to hold theirown bottles when lying fiat and infants less than six (6) months of age are held for bottle feeding. Submit a written statement of compliance by 8/16/23. Correct by 07/17/2023 Katie Anderson Child Care Licensing Specialist IREE-Community-Based Licensing 2821 S. Parker Rd #115 Aurora CO 80014 katie @Ireeinc.com (803) 403-2677

Corrected Corrected by Jul 17, 2023

Marked corrected in the state record.