2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 10 staff files and found Maria O. (Exp: 4/23/24) and Maria "Natalie" S.(Exp: 6/4/23) with expired TRAILS 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 Maria O. (Exp: 4/23/24) and Maria "Natalie" S.(Exp: 6/4/23) have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Maria O. (Exp: 4/23/24) and Maria "Natalie" S.(Exp: 6/4/23) with written response to the Specialist. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: background checks. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ The module must be renewed every two (2) years.

Reviewed 10 staff files and found Keily A. with an expired CPR Module course (EXP: 1/22/24). Correction: Obtain and maintain required documentation of training for all staff at the center. Correct by 07/27/2025

Corrected Corrected by Jul 27, 2025

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 10 staff files and found Jenny B. (DOH:7/27/22) without documentation of a completed FBI check and Alma J. (DOH:2/12/25) without documentation of a completed CBI check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Jenny B. (DOH:7/27/22) and Alma J. (DOH:2/12/25) have reviewed the powerpoint within 24 hours. Submit documentation of FBI and CBI Clearance Letters for staff members Jenny B. (DOH:7/27/22) and Alma J. (DOH:2/12/25) with written response to the Specialist. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: supervision. 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 10 staff files and found Jenny B. (DOH: 7/27/22) without documentation of a completed out of state clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jenny B. (DOH:7/27/22) has reviewed the powerpoint within 24 hours. Submit documentation of Out of state clearance Letter for staff member Jenny B. (DOH:7/27/22) with written response to the Specialist. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

Category: supervision. 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 10 staff files and found Alma J (DOH: 2/12/25), Aleah P. (DOH: 4/14/25) and Keily A. (DOH: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 1/3/22) without documentation of a completed medical statement within 30 days of the hire date. Correction: Obtain and maintain required documentation for all staff at the center. Correct by 07/27/2025

Corrected Corrected by Jul 27, 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.

Reviewed 10 staff files and found Severa R. with an expired standard precautions training (EXP: 4/26/25). Correction: Obtain and maintain required documentation of training for all staff at the center. Correct immediately and submit compliance by 7/27/25. Correct by 06/27/2025

Corrected Corrected by Jun 27, 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.

Reviewed 10 staff files and found Jessica G. with an expired Shaken Baby training (EXP: 2/23/25) and Alma J. without documentation of a completed Shaken Baby training. Correction: Obtain and maintain required documentation of training for all staff at the center. Correct immediately and submit compliance by 7/27/25. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

Reviewed 10 staff files and found Jenny B. (DOH 7/27/22), Alma J.(DOH 2/12/25) and Aleah P.(DOH 4/14/25) without documentation of a completed TRAILS check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Jenny B. (DOH 7/27/22), Alma J.(DOH 2/12/25) and Aleah P.(DOH 4/14/25) have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Jenny B. (DOH 7/27/22), Alma J.(DOH 2/12/25) and Aleah P.(DOH 4/14/25) with written response to the Specialist. Correct by 06/27/2025

Corrected Corrected by Jun 27, 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 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.

Reviewed 10 staff files and found Jessica G.(Exp: 3/19/24), Maria "Natalie" S. (Exp: 1/19/25) , and Severa R. (Exp: 4/29/24), with an expired child abuse training. Correction: Obtain and maintain required documentation of training for all staff at the center. Correct immediately and submit compliance by 7/27/25. Correct by 06/27/2025

Corrected Corrected by Jun 27, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 10 staff files and found Maria O. without documentation of a completed Impact of Bias training. Correction: Obtain and maintain required documentation of training for all staff at the center. Correct by 07/27/2025

Corrected Corrected by Jul 27, 2025

Category: recordkeeping. Marked corrected in the state record.

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

Upon review, found 1 child with expired medication at the center. Correction: Ensure that all medication at the center is unexpired. Correct immediately and submit compliance by 7/27/25. Correct by 06/27/2025

Corrected Corrected by Jun 27, 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.

On the toddler playground there was disinfectant wipes accessible to children and labeled "Keep out of reach" Correction: Ensure that all items labeled "Keep out of reach" are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by removing from the playground and making inaccessible. No response required. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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.

In the caterpillars room there was puzzle with small pieces labeled 3+ and accessible to children under the age of 3 years and in the Butterfly Room there was pom poms, Foam Stickers, Counters and snap cubes accessible to children under the age of 3 years and all items could fit into a choke tube. Correction: Ensure that all items that can fit into a choke tube are inaccessible to children under the age of 3 years at all times. Correct immediately. ** Corrected at time of visit by removing all of the items from the classrooms and making them inaccessible. No response required. Correct by 06/27/2025

Corrected Corrected by Jun 27, 2025

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

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 10 children files and found 2 children with expired health statements and 2 children with health statements not signed by the provider. Correction: Obtain and maintain required documentation for all children at the center. Correct by 07/27/2025

Corrected Corrected by Jul 27, 2025

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

7.702.34.A.7 · 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 children's files, observed 1 emergency medical authorization that needs to be updated (expired 3/2023). Correction: A dated, written authorization for emergency medical care must be signed and dated annually for all children by parents/guardians. Correct immediately, 7/19/23. Document compliance to specialist by 8/19/23. Correct by 07/19/2023

Corrected Corrected by Jul 19, 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)/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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

In Reviewing 7 children's files: 1 child's health statement missing signature and date by health care provider and when the next visit is required by health care provider. Correction: Ensure that all health statements are obtain within 30 days and within 30 days of expiration date of previous health statement. The statement must be signed and dated by health care provider and must include when the next visit is required. Document compliance to Specialist by 8/19/23. Correct by 08/19/2023

Corrected Corrected by Aug 19, 2023

Category: ratio. Marked corrected in the state record.