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.

Observed one outlet under coat hook in main room, and one outlet next to windows in toddler room uncovered and accessible to children. Correction: All electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. - Correct Immediately. Corrected at time of inspection, Director MJ placed safety covers on the two outlets. No response required. Correct by 06/18/2024. Correct by 06/18/2024

Corrected Corrected by Jun 18, 2024

Marked corrected in the state record.

2.237.E · Combustibles such as cleaning rags, mops, and cleaning compounds must be stored in well-ventilated areas, separated from flammable materials, and stored in areas inaccessible to children.

Observed cleaning supplies including disinfectant spray and toilet bowl cleaner in unlocked cabinet accessible to children in girls bathroom located in main room building. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All cleaning compounds must be stored in areas inaccessible to children. - Correct Immediately. Corrected at time of inspection, Director MJ locked cabinet containing cleaning solutions. No response required. Correct by 06/18/2024. Correct by 06/18/2024

Corrected Corrected by Jun 18, 2024

Marked corrected in the state record.

2.127.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.

No evidence most recent Report of Inspection (or instructions on how to view) is posted. Correction: Licensed facility must maintain evidence most recent Report of Inspection (or instructions on how to view) is posted - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 06/18/2024 Correct by 06/18/2024

Corrected Corrected by Jun 18, 2024

Marked corrected in the state record.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through staff statement, Staff Member 1 (DC) grabbed Child 1 on 12/08/2023 causing bruising/injury to Child 1's arm. Correction: Children must not be subjected to physical or emotional harm, humiliation, or threats - Correct Immediately - Respond to licensing specialist with written confirmation of correction and written plan for future compliance. Correct by

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Identified through staff statement, Staff Member 1 (DC) grabbed Child 1 on 12/08/2023 causing bruising/injury to Child 1's arm. Identified through staff statement, Child 1 was restrained in the lap of Staff Member 1 (DC) on 12/08/2023 and on multiple other occasions in December 2023 as a strategy of "calming down" Child 1. Identified through staff statements, facility failed to report reportable incident as per statute. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care of children - Correct Immediately - Respond to licensing specialist with written confirmation of correction and written plan for future compliance. Correct by 04/16/2024 Stage II Licensing Concern : Facility failed to report reportable incident as per statute. - FOUNDED

Corrected Corrected by Apr 16, 2024

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.

Identified through staff statements, facility failed to reportable incident as per statute. Correction: Facility must report all reportable incidents as per statute - Correct Immediately - Respond to licensing specialist with written confirmation of correction and written plan for future compliance. Correct by 04/16/2024 Stage II Licensing Concern : Staff Member 1 is ineligible to work in the child care program due to background check results. - FOUNDED

Corrected Corrected by Apr 16, 2024

Marked corrected in the state record.

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 evidence of capacity and ratio posted in Fish Classroom (Toddler). Correction: Licensed facility must post capacity/ratio in all rooms utilized for child care - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

Category: ratio. Marked corrected in the state record.

2.121.F · The Department may deny, revoke, suspend, change to probationary or fine a child care facility if the applicant(s), an affiliate of the applicant, or any person living with or employed by the applicant has been found to violate any of the provisions set forth in section 26.5-5-317(2), C.R.S.

Observed Staff Member 1 (DC) ineligible to work in the child care program due to background check results. Correction: According to statute 26.5-5-317(2)(n): 26.5-5-317(2)(n): Admits to an act of child abuse or if substantial evidence is found that the licensee, person employed by the licensee, or person who resides with the licensee in the licensed facility has committed an act of child abuse. As used in this subsection (2)(n), "child abuse" has the same meaning as that ascribed to the term "abuse" or "child abuse or neglect" in section 19-1-103(1) - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 04/16/2024 Stage II Licensing Concern : Staff Member 1 and Staff Member 2 restrained Child 1 on 12/8/2023. Staff Member 1 and Staff Member 2 restrained Child 1 multiple times in December 2023. - FOUNDED

Corrected Corrected by Apr 16, 2024

Category: background checks. Marked corrected in the state record.

2.225.H · Any form of restraint is not permitted.

Identified through staff statement, Child 1 was restrained in the lap of Staff Member 1 (DC) on 12/08/2023 and on multiple other occasions in December 2023 as a strategy of "calming down" Child 1. Correction: Any form of restraint is not permitted - Correct Immediately - Respond to licensing specialist with written confirmation of correction and written plan for future compliance. Correct by 04/16/2024 Stage II Licensing Concern : Licensed facility does not follow facility's suspension/expulsion policies. - FOUNDED

Corrected Corrected by Apr 16, 2024

Marked corrected in the state record.

2.206.B.9.a · The written policies and procedures must be developed, implemented, and followed, and must FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ include at a minimum the following information: How decisions are made and what steps are taken prior to the suspension, expulsion, or request to parents or guardians to withdraw a child from care due to concerns about the child’s behavioral issues. These procedures must be consistent with the center’s policy on guidance and positive instruction, and include documentation of the steps taken to understand and respond to challenging behavior including: Identify and consult with an early childhood mental health consultant, AS DEFINED IN SECTION 26.5-3-701, C.R.S or other specialist as needed.

Identified through review of attendance records, Child 1 was asked to leave program early on 12/08/2023 and 12/13/2023. Identified through review of Child 1's file, no evidence suspension/expulsion policy was followed prior to 12/08/2023 and 12/13/2023. Correction: Licensed facility must maintain evidence facility adheres to suspension/expulsion policies outlined in facility's parent handbook prior to decisions being made regarding expulsion/suspension - Correct Immediately - Respond to licensing specialist with written confirmation of correction and plan for future compliance. Correct by 04/16/2024 ________________________________________________ Stage II Licensing Concern : Child 1 has been subject to "mean, nasty, and rude" treatment while in the care of Staff Member 1. - UNFOUNDED Stage II Licensing Concern : Child 1 has been isolated alone in a closed room as a disciplinary measure. - UNFOUNDED Stage II Licensing Concern : Main Classroom is operating over the maximum group size permitted. - UNFOUNDED Stage II Licensing Concern : Licensed facility uses "time-outs" in durations inappropriate to children's ages/development. - UNFOUNDED Stage II Licensing Concern : Attending children experience unexplained injuries while in the care of the licensed facility. - UNFOUNDED Stage II Licensing Concern : Parents/guardians are not informed of injuries/accidents to attending children while in the care of the licensed facility. - UNFOUNDED Stage II Licensing Concern : Licensed facility is "understaffed" and operating out-of-ratio. - UNFOUNDED ________________________________________________

Corrected Corrected by Apr 16, 2024

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

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

Observed tire (tinted red) measuring 2.5 feet in height on preschool playground with 4 inches resilient surface depth in use/fall zones. Correction: All climbing equipment exceeding eighteen (18) inches in height must have resilient surfacing of at least 6 inches in all use/fall zones - Correct Immediately - Respond to licensing specialist with written confirmation of correction and written plan for future compliance. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

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

2.230.C.3.c · Preschool and school-age climbing equipment must have a six (6) foot use zone surrounding the equipment. For slides exceeding six (6) feet in height, the use zone from the base of the slide must be as long as the slide height.

Observed tire (tinted red) measuring 2.5 feet in height on preschool playground with 4 foot use zone on one side. Correction: Preschool and school-age climbing equipment must have a 6 foot use zone surrounding equipment - Correct Immediately - Respond to licensing specialist with written confirmation of correction and written plan for future compliance. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

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.

Observed small white paperclips used to hang artwork in Fish Classroom (Toddler) which pose choke/inhalation hazard. Correction: Any materials accessible to children under 3 years of age must not be a choke/inhalation hazard - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

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;

In one child file reviewed, no evidence of up-to-date emergency medical care authorization. Correction: Licensed facility must maintain evidence of up-to-date emergency medical care authorization for all attending children on file and available for review - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 04/16/2024

Corrected Corrected by Apr 16, 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.

No evidence Staff Member 1 (DC) has completed up-to-date Standard Precautions Training. Correction: Licensed facility must maintain evidence of up-to-date Standard Precautions Training for all active staff in the care of children on file and available for review - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 04/16/2024

Corrected Corrected by Apr 16, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.72.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Brown play house and purple play house on Preschool Playground have visibly peeling paint on interior/exterior in areas accessible to attending children. Correction: Licensed facility must maintain all outdoor play areas/equipment in a safe manner and free from hazards - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

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

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

Observed standing water on tarp covering sandbox on Toddler Playground in area accessible to attending children. Correction: Indoor/outdoor equipment must be sturdy, safe, and free of hazards - Correct Immediately - Respond to licensing specialist with written confirmation of correction. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

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

7.702.42.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.

In 2 of 4 staff files reviewed (DZ, MJ) identified as working with children under 3 years of age, no evidence of up-to-date Shaken Baby/Abusive Head Trauma Training. Correction: Licensed facility must maintain evidence of up-to-date Shaken Baby/Abusive Head Trauma Training for all active staff in the care of children under 3 years of age on file and available for review - Correct Immediately - Respond to licensing specialist. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Category: recordkeeping. Marked corrected in the state record.