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

In room # 9 in the bathroom there was a roll of loose plastic bags accessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure that loose plastic bags are inaccessible at all times. Correct immediately. ** corrected at time of visit by locking the loose bags up and making inaccessible. No response required. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In room #10 there there was an outlet missing a safety plug cover and was accessible to children. Correction: Ensure that all plugs have safety covers. Correct immediately. ** Corrected at time of visit by putting a safety cover in the outlet and making safe. No response required. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

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;

In room #6 there were diapering supplies accessible to children in the bathroom. Correction: Ensure that all diapering supplies are inaccessible at all times. Correct immediately. ** Corrected at time of visit by placing in a locked drawer and making inaccessible. No response required. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

Marked corrected in the state record.

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

In room #8 there was hand soap labeled "keep out of reach" and accessible to children. Correction: Ensure that all items labeled "keep out of reach" are inaccessible at all times. Correct immediately. ** Corrected at time of visit by placing on a high shelf and making inaccessible. No response required. Correct by 12/18/2025

Corrected Corrected by Dec 18, 2025

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;

In the bathroom of the pathway classroom #7, there was diapering supplies in an unlocked storage drawer. Correction: Ensure that all diapering supplies are inaccessible at all times. Correct immediately. ** Corrected at time of visit by locking the storage cabinet and making safe. No response required. Correct by 11/20/2025

Corrected Corrected by Nov 20, 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.

In the main hallway there was pom pom balls on artwork and in the Preschool room #8 there was snap cubes and geometric puzzle pieces. All items fit into a choke tube and were accessible to children under the age of 3 years. Correction: Ensure that all items that fit into a choke tube are inaccessible to children under the age of 3 years. Correct immediately. ** Corrected at time of visit by removing the items out of the classroom and the hallway and making safe. No response required. Correct by 11/20/2025

Corrected Corrected by Nov 20, 2025

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

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In the preschool room #8 there was a string of holiday lights missing a safety plug outlet cover on the end. Correction: Ensure that all outlets have safety plug covers. Correct immediately. ** Corrected at time of visit by placing a plug cover in the uncovered outlet and making safe. No response required. Correct by 11/20/2025

Corrected Corrected by Nov 20, 2025

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 34 staff files and found 1 staff with expired Child Abuse training. Correction: Obtain and maintain the required trainings for all staff. Correct immediately and submit compliance by 11/23/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

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

Reviewed 34 staff files and found 1 staff with expired safe sleep training. Correction: Obtain and maintain the required trainings for all staff. Correct immediately and submit compliance by 11/23/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

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.

Reviewed 20 children files and found 2 with expired documentation of a completed health statements. Correction: Obtain and maintain the required documentation for all children in the center. Correct by 11/23/2025

Corrected Corrected by Nov 23, 2025

Category: ratio. Marked corrected in the state record.

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

In room #2 there were bubbles in an unlocked cabinet, and in Room #6 in a first aid bag on the floor there was burn gel. Both items were labeled "Keep out of reach" and were accessible to children. 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 locking the cabinet in room #2 and by hanging the first aid bag up high in room # 6, making all items inaccessible. No response required. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Marked corrected in the state record.

2.120.C.1.a.1 · The Trails child abuse or neglect records request must be made on the state-prescribed form, 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: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed 34 staff files and found 1 staff member 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 the staff member(s) have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS background check Clearance Letter for the staff member(s) with written response to the Specialist. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Category: supervision. Marked corrected in the state record.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed 34 staff files and found 7 staff missing signed acknowledgment training on the centers polices on administration of medications. Correction: Obtain and maintain the required acknowledgments for all staff at the center. Correct immediately and submit compliance by 11/23/25 Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Category: ratio. 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 34 staff files and found 2 staff with expired standard precautions training. Correction: Obtain and maintain the required trainings for all staff. Correct immediately and submit compliance by 11/23/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 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 34 staff files and found 1 staff with expired abusive head trauma training and were working with children under the age of 3 years. Correction: Obtain and maintain the required trainings for all staff. Correct immediately and submit compliance by 11/23/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Category: recordkeeping. Marked corrected in the state record.

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

In Rooms # 3 and #10 staff did not know that they had medications for children in their care. Correction: Staff must be informed and trained on the medical needs of children under their care. Correct immediately and submit compliance by 11/23/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Category: supervision. Marked corrected in the state record.

2.216.B.1.c · Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. The orientation may include, but not limited to, the following topics:

Reviewed 34 staff files and found 4 staff, working in the infant room with without documentation of a completed infant orientation. Correction: Obtain and maintain the required trainings for all staff. Correct immediately and submit compliance by 11/23/25. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Category: supervision. Marked corrected in the state record.

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

In room #2 there were plastic bags in an unlocked cabinet, and in Room #1 there was plastic wrap for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ diapers in a bin. Both items were were accessible to children and posing a potential hazard. Correction: Ensure that plastic bags are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by locking the cabinet in room #2 and by removing the plastic bag from room #1, making both inaccessible. No response required. Correct by 10/23/2025

Corrected Corrected by Oct 23, 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 room #6 there were cottonballs on art work, In Room #7 a magnet on the white board, and in room #8 there was marker tops, broken crayons, cottonballs and Bristle connectors. All items fit into a choke tube and were accessible to children under the age of 3 years. Correction: Ensure that all items that fit into a choke tube are inaccessible to children under the age of 3 years. Correct immediately. ** Corrected at time of visit by removing all of the items from the classrooms and making them in accessible. No response required. Correct by 10/23/2025

Corrected Corrected by Oct 23, 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.

In room # 9 there was a ceramic pen holder that was easily breakable and accessible to children under the age of 5 years. Correction: Ensure that easily breakable items are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by placing the pen holder on a high shelf making it inaccessible. No response required. Correct by 10/22/2025

Corrected Corrected by Oct 22, 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.

In the main hallway and in room # 7 there was air purifier towers that had loose power cords posing a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ potential hazard. Correction: Ensure that the indoor and outdoor environment is free from hazards. Correct immediately. ** Corrected at time of visit by taping the power cords to the back of the air purifier and making it safe. No response required. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

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

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In room #9 there was a power strip with a missing outlet cover accessible to children. Correction: Ensure that all open power strips have protective covers. Correct immediately. **Corrected at time of visit by placing the outlet cover in the open plug. No response required. Correct by 10/23/2025

Corrected Corrected by Oct 23, 2025

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In the Preschool 2 room #10, there were 3 outlets missing plug covers. Correction: Ensure that all outlets have safety plug covers. Correct immediately. ** Corrected at time of visit by placing safety plug covers in the outlets. No response required. Correct by 09/25/2025

Corrected Corrected by Sep 25, 2025

Marked corrected in the state record.

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

In the Pre-K room #9 there were sharp adult scissors accessible to children. Correction: Ensure that sharp items are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by placing the adult scissors in a locked cabinet and making inaccessible. No response required. Correct by 09/25/2025

Corrected Corrected by Sep 25, 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.

In the Preschool room #8 there was Magnets and beads accessible to children under the age of 3 years and the items fit into a choke tube. Correction: Ensure that all items that fit into a choke tube are inaccessible to children under the age of 3 years. Correct immediately. ** Corrected at time of visit by removing the items from the classroom. No response required. Correct by 09/25/2025

Corrected Corrected by Sep 25, 2025

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

2.223.A.3 · Staff must be awake, alert, and actively supervising all children.

Through staff statement found that staff did not move around enough the playground which is required to actively supervise the children. Correction: Ensure that staff are actively supervising children at all times. Correct immediately and submit compliance by 7/25/25. Correct by 07/18/2025 Stage II Licensing Concern : Staff did not redirect children who were going to a known blind spot on the playground - FOUNDED

Corrected Corrected by Jul 18, 2025

Category: supervision. 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.

Through staff statements found that staff knew there was a blind spot on the playground and CH 1 took CH 2 and CH3 to that area. Staff did not redirect the children to a different area, nor did the staff place themselves in the known blind spot area to better supervise the children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ During the walk through Identified that the Staff member Leslie completed infant safe sleep training on 10/2/2024, and a child in their care was found in an unsafe sleep environment. Correction: Staff must demonstrate knowledgeable decision making and judgment for the proper care of children. Infant room staff : Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Correct immediately and submit compliance by 7/25/25 Correct by 07/18/2025 Stage II Licensing Concern : Facility failed to report an incident as required by statute and licensing regulations. - FOUNDED

Corrected Corrected by Jul 18, 2025

Category: supervision. Marked corrected in the state record.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Through staff statement and research of email records, found that the provider did not notify Licensing of a reportable incident that was responded to by another department. Correction: Ensure that proper reporting is made to the proper agencies. Correct immediately and submit compliance by 7/25/25. Correct by 07/18/2025 Stage II Licensing Concern : Provider was made aware of allegations of an incident and did not report the incident to the proper authorities (within the required time frames). - FOUNDED

Corrected Corrected by Jul 18, 2025

Category: ratio. Marked corrected in the state record.

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a 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 county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

Through staff statement found that the provider attempted to keep the concerns “in house and discrete” and did not report to the appropriate departments. Correction: Ensure that proper reporting is made to the proper agencies. Correct immediately and submit compliance by 7/25/25. Correct by 07/18/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Jul 18, 2025

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;

In the Early PS, Preschool 1 and PS pathway bathrooms, diapering supplies were accessible to children. Correction: Ensure all diapering supplies are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by putting the supplies in the Early PS and Preschool 1 bathrooms in a cabinet and by putting child locks on the diapering supplies in the PS pathway classroom, making all inaccessible. No response required. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Marked corrected in the state record.

2.223.C.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals.

A 7mo old infant was placed in an unsafe sleep environment; Observed infant with a stuff animal in the crib and the sleep sack being used as a blanket ontop of the child. Correction: All infants must immediately be placed in a safe sleep environment. Immediately, 7/18/25, remove the stuff animal and sleep sack being used in lieu of a blanket. Submit plan for compliance by 7/25/25. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

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

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

In the PS Pathway classroom there was diaper cream and in the Preschool 1 class room there was Mod Podge. Both were labeled "keep out of reach" and accessible to children. Correction: Ensure all items labeled "Keep out of reach" are inaccessible at all times. Correct immediately. ** Corrected at time of visit by removing from the classrooms and making inaccessible. No response required. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Marked corrected in the state record.

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

In the School Age room and Pre-K room, sharp adult scissors were accessible to children. Correction: Ensure that sharp scissors are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by placing in a locked cabinet making inaccessible. No response required. Correct by 07/18/2025

Corrected Corrected by Jul 18, 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.

In the toddler 2 room there was a sensory bottle with buttons in it that had a loose cap. The buttons 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. Correct immediately. ** Corrected at time of visit by removing the bottle from the classroom. No response required. Correct by 07/18/2025

Corrected Corrected by Jul 18, 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.

In the Preschool 2 room there was tech cords plugged into a wall and hanging freely posing a potential shock FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hazard. Correction: Ensure all indoor and outdoor areas are free from hazards. Correct immediately. ** Corrected at time of visit by removing the power cords from the wall and making safe. No response required. Correct by 07/18/2025

Corrected Corrected by Jul 18, 2025

Category: physical safety. 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;

Reviewed 20 children's files and observed 1 child to not have current emergency medical authorization form. Correction: Obtain and maintain documentation of current emergency medical authorizaiton for all children enrolled with missing or expired forms. Correct immediately 11/19/24 and submit compliance by 12/19/24. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

Observed cracked buckets on the toddler playground, PRS playground, cracked wood borders on the PRS playground, cracked toy bucket lids in the PRS silver classroom classroom a cracked mirror above the handwashing sink used by children in the PRS white classroom. Correction: Ensure all equipment is sturdy, safe and free of hazards. Correct immediately 11/19/24 and submit compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.216.B.2.a · In the infant program, there must be a qualified infant program supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual qualified as an infant early childhood teacher must be responsible during the remaining time.

Identified that the Infant program supervisor is not working in the classroom at least 60 % of the day. Correction: Ensure the IPS is present 60% of the day in the infant room. Correct immediately 11/19/24 and submit compliance by 12/19/24. Correct by 11/19/2024

Corrected Corrected by Nov 19, 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 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.

Reviewed 20 children's files and observed 1 child with an expired health statment and 2 to be missing a health statement. Correction: Obtain and maintain documentation of current health statements within 30 days of expiration and admission for all children enrolled with missing or expired forms. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

in the Early PRS & PRs classroom wipes & diapers in the drawers of the rolling storage cabinets in the bathroom. Correction: Ensure all diaper changing supplies are inaccessible to children at all times. Correct immediately 11/19/24. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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.

Observed an infant in the young infant room to have a bottle propped. Correction: Ensure all infants do not have propped bottles. Correct immediately 11/19/24. ***Corrected at time of visit by holding the bottle for the child. No response is required. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Marked corrected in the state record.

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

Observed a plastic container under an evacauation crib in the young infant room. Correction: Ensure nothing is stored in or under any evacuation equipment. Correct immediately 11/19/24. ***Corrected at time of visit by moving the container. No response is required. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

Observed a ball marked 3 + and a second ball marked 2+ on the toddler playground used by children under the age of 2. Correction: Ensure all equipment is appropriate for children's ages. Correct immediately 11/19/24. **Corrected by removing from the playground. No response is required. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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

2.209.A · An admission record must be completed for each child prior to or at the time of the child's admission. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This record must be updated annually and when changes occur. The admission record must include:

Reviewed 20 children's files and observed 1 child to not have an admission record. Correction: Obtain and maintain child's enrollment packet prior to admission and update annually. Correct immediately 11/19/24 and submit compliance by 12/19/24. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: recordkeeping. 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 33 staff files and observed 2 staff (Hannah S. Sydney A) to not have documentation of out of state background 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 Hannah & Sydney have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background Clearance Letters for staff members Hannah & Sydney with written response to the Specialist. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

Category: supervision. 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 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.

Reviewed 33 staff files and observed 1 staff (Kayla H. ) to not have documentation of current emergency and disaster preparedness training. Correction: Obtain and maintain documentation of emergency and disaster preparedness training. Correct immediately 11/19/24 and submit compliance by 12/19/24. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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.

Reviewed 33 staff files and observed 5 staff members to not have documentation of current health statements within 30 days of hire. (Gina M. HD 6/24, Chloe G HD 9/13/24, Kayla D HD 2/27/24, Alexia G HD 9/19/24 & Kailyn M HD 3/5/24) Correction: Obtain and maintain documentation of current health statements within 30 days of hire. Submit compliance by 12/19/2024. Correct by 12/19/2024

Corrected Corrected by Dec 19, 2024

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 33 staff files and observed 2 staff Amaya & Cassie to not have documentation of current standard precautions training. Correction: Obtain and maintain documentation of current training. Correct immediately 11/19/24 and submit compliance by 12/19/24. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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.

Reviewed 33 staff files and observed 1 staff Amaya to not have documentation of current first aid and CPR or the department approved module. Correction: Obtain and maintain documentation of current training. Correct immediately 11/19/24 and submit compliance

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Reviewed 33 staff files and observed assistant director Cassie HD 2/9/24 to not have documentation of the mental health consultant course. Correction: Obtain and maintain documentation of current training. Correct immediately 11/19/24 and submit compliance by 12/19/24. Correct by 11/19/2024

Corrected Corrected by Nov 19, 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.

Reviewed 33 staff files and observed assistant director Cassie HD 2/9/24 to not have documentation of the child care health consultation course. Correction: Obtain and maintain documentation of current training. Correct immediately 11/19/24 and submit compliance by 12/19/24. Correct by 11/19/2024

Corrected Corrected by Nov 19, 2024

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