2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

No max capacity was posted in the classroom. Correction: Ensure that the capacity of the classroom is posted. Correct immediately. ** Corrected at time of visit by posting the capacity in the room. No response required. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

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

Reviewed 4 children files and found 3 without documentation of health statements. Correction: Obtain and maintain required documentation for all children at the center. Correct by 06/08/2025

Corrected Corrected by Jun 8, 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 5 staff files and found Ahtzari C. with an expired standard precautions training. (Exp: 1/19/25) Correction: Obtain and maintain required training for all staff at the center. Correct immediately and submit compliance by 6/8/25. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: recordkeeping. 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.

Reviewed 5 staff files and found Ahtzari C. (DOH: 9/20/24) without documentation of a completed Introduction to early intervention and preschool special education training within 90 days of hire. Correction: Obtain and maintain required training for all staff at the center. Correct by 06/08/2025

Corrected Corrected by Jun 8, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Reviewed the Nurse Consultant file and found the immunization training to be expired (Exp: 11/13/24). Correction: Obtain and maintain required training for all staff at the center. Correct immediately and submit compliance by 6/8/25 Correct by 05/08/2025

Corrected Corrected by May 8, 2025

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

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 4 children files and found 2 without documentation of immunizations. Correction: Obtain and maintain required documentation for all children at the center.Correct immediately and submit compliance by 6/8/25 Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: health medication. 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 5 staff files and found Jackie B. without documentation of a completed out of state back ground check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jackie B. has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letter for staff member Jackie B. with written response to the Specialist. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ supplies and disinfecting solutions and products;

In the classroom diapers and wipes were accesible to children in the bathrooms. Correction: Ensure that all diapering supplies are inaccessible to children. Correct immediately. ** Corrected at time of visit by removing from the bathroom and making inaccessible. No response required. Correct by 05/08/2025

Corrected Corrected by May 8, 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 the classroom there was a window blind cord hanging down, accessible to children and creating a potential strangulation hazard. Correction: Ensure that all blind cords are inaccessible to children at all times. Correct immediately. ** Corrected at time of visit by wrapping the cord up and making it inaccessible. No response required. Correct by 05/08/2025

Corrected Corrected by May 8, 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 the classroom there was a glass flower vase accessible to children. Correction: Ensure that items that are easily breakable are inaccessible to children under the age of 5 years. Correct immediately. ** corrected at time of visit by moving the vase to a higher location and making it inaccessible. No response required. Correct by 05/08/2025

Corrected Corrected by May 8, 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 classroom there was a unplugged computer charging cord accessible to children and creating a potential shock hazard. On the playground there was weed barrier exposed creating a potential tripping hazard. Correction: Ensure that all indoor and outdoor areas are free from hazards. Correct immediately and submit compliance by 6/8/25. Correct by 05/08/2025

Corrected Corrected by May 8, 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 amount of time taken to evacuate.

Reviewed the drill log and found that there was no tornado drills preformed in August, September and October 2024. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Moving forward ensure that Tornado drills are completed monthly from March-October. Correct immediately and submit compliance by 6/8/25. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: recordkeeping. Marked corrected in the state record.