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 26 staff files and found the assistant director, Sandra M. to not have documentation of a completed Intro to child care health consultation training. Correction: Obtain and maintain required documentation for all staff at the site. Correct by 05/02/2025

Corrected Corrected by May 2, 2025

Category: health medication. 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 # 104, there was an extension cord that had one outlet missing a safety plug cover. Correction: Ensure that all outlets have safety plug covers installed. Correct immediately 4/2/25. ** Corrected at time of visit by putting in a plug cover. No response required. Correct by 04/02/2025

Corrected Corrected by Apr 2, 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;

Reviewed 14 children files and found 2 children without current emergency medical authorization. Correction: Obtain and maintain required documentation for all children enrolled at the center. Correct immediately 4/2/25 and submit compliance by 5/2/25. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

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.

In room #108, there was a ipad charging cord hanging down posing a potential shock hazard to children. Correction: Ensure that all equipment is safe and free from hazards. Correct immediately 4/2/25. **Corrected at the time of visit by making the cord inaccessible. No response required. Correct by 04/02/2025

Corrected Corrected by Apr 2, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 14 children files and found 3 children with expired health statements. Correction: Obtain and maintain required documentation for all children enrolled at the center. Correct by 05/02/2025

Corrected Corrected by May 2, 2025

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;

In room #108 and # 107, diapers and wipes were accessible to children in the bathrooms. Correction: Ensure that all diapering supplies are inaccessible at all times. Correct immediately 4/2/25. ** Corrected at time of visit by making inaccessible. No response required. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Marked corrected in the state record.

2.229.B · Window blind cords must be secured out of children's reach to prevent strangulation.

In room # 104, there was a blind cord not attached to the wall hanger which posed a potential strangulation hazard. Correction: Ensure that all blind cords are inaccessible to children at all times. Correct immediately 4/2/25 ** Corrected at time of visit by placing a command hook on the wall and putting the blind cord on it. No response required. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

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

2.229.F · Glitter must not be used with children under three (3) years of age.

In room # 107 there was glitter on artwork completed by the children and in #110 there was glitter in a sensory bottle that had a cap that could be twisted off. Both rooms had children under the age of 3 years. Correction: Ensure that glitter is not used with children under 3 years old. Correct immediately 4/2/25. ** Corrected at time

Open Not marked corrected in the state record

Open / not marked corrected.

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 # 113 there were magnets on the door/window jams, #112 there were pom poms on a clock, #108 there was chalk, pom poms on the shelf and on displayed art, and in room #107 there was Pom Poms on art, broken crayons, and 3 puzzles that stated 3+ years. All times could fit into a choke tube and all of these rooms had children under 3 years of age. Correction: Ensure that all items that pose a choking hazard are inaccessible to children under 3 years of age. Correct immediately 4/2/25. ** Corrected at time of visit by removing all choke hazards from the classrooms. No response required. Correct by 04/02/2025

Corrected Corrected by Apr 2, 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 # 104 there was a glass plant pot accessible to children. Correction: Ensure that all easily breakable items are inaccessible to children under the age of 5 years. Correct immediately 4/2/25. ** Corrected at time of visit by making inaccessible. No response required. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

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

2.138.A · 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ amount of time taken to evacuate.

Reviewed the drill log and found that in 2024 there were only 3 lockdown drills completed. Correction: All lockdown and active shoot drills must be held at least quarterly. Correct immediately 4/2/25 and submit compliance by 5/2/25 Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: recordkeeping. 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 26 staff files and found, Nicole S. and Brenley L. to not have 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 Nicole S. and Brenley L. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Nicole S. and Brenley L. with written response to the Specialist. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: supervision. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 26 staff files and found, Brittany G. to have an expired FBI check (Exp: 11/13/23) Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Brittany G. has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff member Brittany G. with written response to the Specialist. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: background checks. 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 26 staff files and found, Stinder G. to not have have documentation of a completed out of state background 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 Stinder G. has reviewed the powerpoint within 24 hours. Submit documentation of Out of state Clearance Letter for staff member Stinder G. with written response to the Specialist. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: supervision. Marked corrected in the state record.

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 26 staff files and found, Amani L.. to not have have documentation of a signed child abuse form. Correction: Obtain and maintain required documentation for all staff at the site. Correct. Immediately 4/2/25 and submit compliance by 5/2/25. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 26 staff files and found, 26 staff. to not have have documentation of fire extinguisher training. Correction: Obtain and maintain required documentation for all staff at the site. Correct. Immediately 4/2/25 and submit compliance by 5/2/25. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: recordkeeping. 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 26 staff files and found, Kayla C. and Brenly to not have have documentation of training in the centers medication administration policy. Correction: Obtain and maintain required documentation for all staff at the site. Correct. Immediately 4/2/25 and submit compliance by 5/2/25. Correct by 04/02/2025

Corrected Corrected by Apr 2, 2025

Category: ratio. 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 Pikes Peak Classroom ages 2 1/2 to 3 1/2 years of age, broken crayons, PomPoms, and marker lids that pose a potential choking hazard. Correction: Toys, toy parts, furnishings, equipment and any materials accessible to children under the age of three (3 ) must not be a choke hazard. Any area of the facility accessible to children less tan three (3) years of age must be free of any choke or inhalation hazards. Correct immediately, 5/20/24. *** Corrected at the time of visit by removing choke hazards. No response required, 5/20/24. Correct by 05/20/2024

Corrected Corrected by May 20, 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.

In the infant classroom Beanie babies and on the toddler playground (ages 1 to 3 years) 2 balls that state "not recommended to children under the age of 3 years. Correction: A variety of play equipment and materials appropriate for children ages size, developmental need, and

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

In Pikes Peak (ages 2 1/2 to 3 1/2 had peeling paint on the window seal posing a potential hazard. Correction: Buildings must be kept in good repair and maintained in safe condition. Correct immediately, 5/20/24. Document compliance to Specialist by 5/27/24. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

Category: physical safety. 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 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.

In reviewing 22 staff files: 2 staff missing the child development training: Shamira S. (DOH 2/7/2024) Kamari V. (DOH 7/2/2023) Correction: All staff must have at least 1 hour of child development training within 90- days of employment. This training must include the major domains (cognitive, social, emotional, physical development, & approaches to learning). This training is required once and will count towards ongoing training requirements. Document compliance to Specialist by 5/27/24. Correct by 05/27/2024

Corrected Corrected by May 27, 2024

Category: recordkeeping. Marked corrected in the state record.