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:

Jocelyn L., Tish M., and Jordan P., are all missing out of state clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Jocelyn L., Tish M., and Jordan P., have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff members Jocelyn L., Tish M., and Jordan P., with written response to Specialist. Correct by 05/12/2025

Corrected Corrected by May 12, 2025

Category: supervision. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Amy S., had not yet completed a child abuse training & Jocelyn L., and Cheyanne D. had expired child abuse trainings. Correction: Staff must complete a department-approved child abuse prevention training within thirty (30) days of hire and annually. Submit written correction to licensing. Correct by 05/12/2025

Corrected Corrected by May 12, 2025

Category: recordkeeping. Marked corrected in the state record.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

The most recent licensing report or a notice of where reports can be viewed was not posted at the center. Correction: The most recent licensing report or a notice of where reports can be viewed must be posted. Submit written correction to licensing. Correct by 05/12/2025

Corrected Corrected by May 12, 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;

Five (5) out of five (5) child file's had expired authorizations for emergency medical are & they were not signed or dated by the parent/guardian. Correction: A written authorization for emergency medical care must be signed and dated by a parent/guardian and be updated annually. Submit written correction to licensing. Correct by 05/12/2025

Corrected Corrected by May 12, 2025

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Jocelyn L., and Jordan P., had expired standard precautions training. Correction: Staff must annually complete a department-approved standard precautions training. Submit written correction to licensing. Correct by 05/12/2025

Corrected Corrected by May 12, 2025

Category: recordkeeping. 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.

Eryn W., had an expired Shaken Baby training & Amy S., had not yet completed Shaken Baby training. Correction: Staff must complete a department-approved Shaken Baby training prior to working with children an every two (2) years after. Submit written correction to licensing. Correct by 05/12/2025

Corrected Corrected by May 12, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Amy S., had not yet completed First Aid and CPR module. Correction: Within thirty (30) days of hire staff not required by rule to be certified in CPR must complete a department-approved Introduction to First Aid and CPR module. Submit written correction to licensing. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Marked corrected in the state record.

2.117.E · If the Department grants a materials waiver request, it will issue the child care center an official decision notification letter allowing the use of the requested materials according to the provided safety policy. The applicant or licensee must post the decision letter next to the child care license until the letter’s expiration date. If there is no expiration date, the decision letter expires three (3) years from the date of the letter. If programs want to continue the waiver after the expiration date of three (3) years they must submit a new waiver request. The approved waiver must be in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ place before using materials that pose a risk to children.

The facility has a materials waiver for the use of Montessori materials but it is not posted with the child care license. Correction: Materials waivers must be posted next to the child care license. Submit written correction to licensing. Correct by 05/12/2025

Corrected Corrected by May 12, 2025

Category: ratio. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Amy S., had not yet completed the Introduction to the Early Intervention and Preschool Special Education training. Correction: Within (90) days of hire staff must complete a department-approved training; Introduction to the Early Intervention and Preschool Special Education. Submit written correction to licensing. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved 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.

Amy S., had not yet completed the Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: Within (90) days of hire staff must complete a department-approved training; Recognizing the Impact of Bias on Early Childhood Professionals. Submit written correction to licensing. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Erin S., Amy S., Mia M., Cheyanne D., Jordan P., and Jocelyn L., had not yet completed one (1) hour of child development training. Correction: Staff must complete at least one (1) hour of child development training within ninety (90) days of hire. Submit written correction to licensing. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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.

Amy S., Eryn W., and Jocelyn L., had not have proof of fifteen (15) hours of annual training. Correction: Annually staff must complete fifteen (15) hours of professional development. Submit written correction to licensing. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.C.7 · All Department-approved child care health consultants must complete the Department-approved child care health consultant introductory training course within six (6) months of hire. Child care health consultants must complete Department-approved ongoing professional development training every three (3) years. The center must obtain and maintain proof of training completion.

The CCHC Beth Lines had not have an updated child care health consultant credential. Correction: Child care health consultants must complete a department-approved child care health consultant introductory training course. Submit written correction to licensing. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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

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

Sunscreen and wipes labeled, "keep out of reach of children" were accessible to children on the playground. Correction: Items labeled, "keep out of reach of children" must be inaccessible to children at all times. Corrected at the

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.221.B · The center must apply sunscreen, have the parent(s)/guardian(s) apply sunscreen, or use another form of parent/guardian approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label.

It was observed that sunscreen was not being applied until children already were outside. Correction: Sunscreen must be applied prior to children going outside. Submit written correction to licensing. Correct by 05/12/2025

Corrected Corrected by May 12, 2025

Marked corrected in the state record.

7.701.56.A · . At all times during the operating hours of the facility, except for foster care homes, the facility/agency must post the current child care license in a prominent and conspicuous location easily observable by those entering the child care facility or agency. For foster care homes, the certificate must be available for review/upon request of the public.

Current child care license not to be posted. Correction: At all times the facility shall post in a prominent location the current child care license. Correct immediately. **CORRECTED AT THE TIME OF VISIT** Staff posted the current license in an easily observable location, next to the visitor policy 9/14/23. No response is necessary for this violation. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Marked corrected in the state record.

7.702.71.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.

Observed a flower glass base on one of the children tables. Correction: Materials easily breakable such as glass should not be accessible to children less than five (5) years of age. Correct immediately. **CORRECTED AT THE TIME OF VISIT** Staff removed the flower glass base, making it inaccessible to children, 9/14/23. Document future compliance to the Licensing Specialist with the written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: physical safety. 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 within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

2 of 6 staff files to be missing documentation of a medical statement signed and dated by a physician or other health care provider for the following individuals: Jordan P. and Mia M. Correction: All staff members must submit to the center a medical statement signed and dated by a licensed physician or other health care professional at the start of their employment. Subsequent self-reported health histories may be submitted annually. Obtain a physician signed medical statement for Jordan P. and Mila M.. Send copy to the Licensing Specialist. Document future compliance with the written response. Correct by 10/14/2023

Corrected Corrected by Oct 14, 2023

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

7.701.100.F.2 · . 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.

Emergency drills to be incomplete; missing tornado and quarterly drills. Correction: Fire drills must be held monthly, tornado drills must be held monthly between March to October, and other emergency drills must be held quarterly so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Record of drills must include date, time, number of adults, number of children, and the amount of time taken to evacuate. Correct immediately. Ensure that emergency drills are conducted and documented in full. Document compliance to the Licensing Specialist with the written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. 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)/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) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

1 of 3 children files reviewed to be missing documentation of a health statement and 1 of 3 children files reviewed to have an expired health statement. Correction: Obtain documentation of current health statement and add to children’s files. Document compliance with the written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: ratio. 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.

1 of 3 children files to be missing immunization records on the Colorado Department of Public Health and Environment's (CDPHE) required form. Correction: Transcribe immunization records onto correct form or obtain records on correct form. Document compliance to the Licensing Specialist with the written response. Correct by 10/14/2023

Corrected Corrected by Oct 14, 2023

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

7.701.33.A.1 · Each applicant listed below must submit to the Colorado Bureau of Investigation (CBI) and the Federal Bureau of Investigation (FBI) a complete set of fingerprints taken by a qualified law enforcement agency or any third party vendor approved by CBI including county departments of human or social services that use fingerprint machines pursuant to Section 19-3-406(1)(C),(2), C.R.S., to obtain any fingerprint criminal history record held by the CBI and FBI. If a third party takes the individual’s fingerprints, the fingerprints may be electronically captured using CBI’s approved LiveScan equipment. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows:

1 of 6 staff files to be missing documentation of the CBI clearance letter for the following individuals: Amy S. Correction: Obtain documentation of the CBI clearance letters or resubmit CBI/FBI background checks. Correct

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

7.702.42.A.1 · This training is developed and facilitated by the program for staff to identify program specific environmental hazards. Staff must be retrained if there are changes to the building and physical premises.

Identified through Director statement that no documentation exists for a building and physical premises training. Correction: All staff must complete the building and physical premises training prior to working with children. Document compliance to the Licensing Specialist with the written response. Send a copy of the training to the Licensing Specialist with the written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. 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.

1 of 6 staff files reviewed to be missing documentation of the Department approved training about child abuse prevention for the following individuals: Amy S. 1 of 6 staff files to have an expired certificate of the Department FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approved training about child abuse prevention for the following individuals: Elizabeth T. Correction: All providers and staff must complete the Department approved training about child abuse prevention and renew annually. Correct immediately. Obtain missing training and add to the staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

1 of 6 staff files reviewed to be missing documentation of the Introduction of the Early Intervention and Preschool Special Education Programs training course for the following staff members: Amy S. Correction: All staff must complete the Introduction to Early Intervention and Preschool Special Education Programs training course. Complete course and add training certificate to staff file. Send a copy of the training certificates for the staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 10/14/2023

Corrected Corrected by Oct 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

1 of 6 staff files reviewed to be missing documentation of the Recognizing the impact of Bias on Early Childhood Professionals training course for the following staff members: Elizabeth T. Correction: All staff must complete the Recognizing the impact of Bias on Early Childhood Professionals training course. Complete course and add to staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 10/14/2023

Corrected Corrected by Oct 14, 2023

Category: recordkeeping. 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

1 of 6 staff files to be missing Department approved documentation of the emergency and disaster preparedness training course for the following individuals: Amy S. Correction: All providers/staff of a child care facility must be trained in emergencies and disaster preparedness prior to caring for children. Correct immediately. Obtain documentation of the emergency and disaster preparedness training course and add to staff file. Send copies of the missing training certificates to the Licensing Specialist. Document compliance with the written response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.