2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Reviewed six children's files and observed one file having an expired health statement per the recommended AAP guidelines. Correction: Obtain documentation of current health statement and submit documentation of compliance to specialist with written response. Correct by 09/12/2025

Corrected Corrected by Sep 12, 2025

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

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed six children's files and observed one file having an expired health statement. Correction: Obtain documentation of current health statement and submit documentation of compliance to specialist with written response. Correct by 09/12/2025

Corrected Corrected by Sep 12, 2025

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

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

Lighter accessible to children on shelf next to sink in upstairs preschool classroom ,posing a potential safety hazard. Correction: Volatile substances such as gasoline, kerosene, fuel, oil, oil based paints, firearms, explosives and other hazardous items must not be stored in any area of the building used for childcare. Correct by 03/03/2025

Corrected Corrected by Mar 3, 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.

3 packages of wipes labeled keep out of reach of children accessible to children in a low unlocked cabinet under the changing table, in the infant room. Correction: Items labeled keep out of reach of children must be inaccessible to children. *** CORRECTED AT TIME OF VISIT*** Teacher locked cabinet making wipes inaccessible to children. Correct by 03/03/2025

Corrected Corrected by Mar 3, 2025

Marked corrected in the state record.

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Staples accessible to children less than 3 years of age in the front entry way of downstairs preschool classroom. Correction: Staples must be inaccessible to children less than three years of age. *** CORRECTED AT TIME OF VISIT ***

Open Not marked corrected in the state record

Open / not marked corrected.

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

7 loose plastic bags accessible to children in a low unlocked cabinet under the changing table, in the infant room. Correction: Loose plastic bags must be stored in areas inaccessible to children. *** CORRECTED AT TIME OF VISIT*** Teacher locked cabinet making them inaccessible to childre. Correct by 03/03/2025

Corrected Corrected by Mar 3, 2025

Marked corrected in the state record.

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

1 package of diaper wipes and 2 bags of diapers labeled keep out of reach of children accessible to children in bathroom of the preschool classroom. Correction: Items labeled keep out of reach of children must be inaccessible to children. Submit documentation of compliance to specialist with written response. ***CORRECTED AT TIME OF VISIT*** Director moved items to high shelf making them inaccessible to children. Correct by 02/12/2025

Corrected Corrected by Feb 12, 2025

Marked corrected in the state record.

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

Infant classroom capacity to be 5 children ages 6 weeks to 18 months. Observed 6 infants ages 6 weeks to 18 months being cared for in the infant classroom. Toddler classroom capacity to be 5 children ages 12 months to 36 months. Observed 7 toddlers ages 12 months to 36 months being cared for in the toddler classroom. Both classrooms exceeding the licensed capacity for each room. Correction: The licensed room capacity must not be exceeded at any time. Correct by 12/12/2024

Corrected Corrected by Dec 12, 2024

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.

Toy cars labeled for children 3 years of age and older accessible to children less than 3 years of age in the downstairs preschool classroom posing a potential choking hazard. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children under 3 years of age must not

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Identified Sani-Q, Simple Green D Sanitizer, and Comet powder to all be labeled "keep out of reach of children" in unlocked cabinet under sink in kitchen accessible to children. Correction: Ensure items labeled "keep out of reach of children" are inaccessible to children. Correct immediately. ***CORRECTED AT TIME OF VISIT*** Assistant director locked cabinet with child-proof lock. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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 9 staff files. Observed Chloe Z., Chloe T., and Tatum to be missing department approved Child Abuse Prevention training. Correction: Obtain documentation of department approved Child Abuse Prevention training and put in staff files. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Identified upstairs preschool room to have adult scissors on ledge left of stairs accessible to children. Correction: Ensure indoor materials are free of hazards. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Identified Butterfly room with children less than 3 years of age to have two thumb tacks on cork board on East wall. Correction: Ensure thumb tacks are not used in areas accessible to children less than 3 years of age. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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:

Identified through director's statement that staff member Chloe Z. has resided out of state within the past five years. Reviewed Chloe's file and observed Chloe to be missing documentation of an 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 member Chloe Z. has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check or Out of State Clearance Letters for staff member Chloe Z. with written response to the Specialist. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9 staff files. Observed Jessica, Chloe Z., Karla, Tatum, and Meredith to not have documentation of medical statement. Observed Mary, Mikahla, Kerri, and Chloe T. to have expired medical statements. Correction: Obtain documentation of medical statements signed and dated by a physician or other health care provider for staff members Jessica, Chloe Z., Karla, Tatum, and Meredith and put in staff file. Obtain documentation of current self-reported histories for staff members Mary, Mikahla, Kerri, and Chloe T. and put in staff file. Correct by 09/01/2024

Corrected Corrected by Sep 1, 2024

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

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Reviewed 9 staff files. Observed Kerri to be missing documentation of qualifications. Observed Meredith to be missing documentation of qualifications. Identified Kerri and Meredith to be supervising Downstairs preschool room during walkthrough. Correction: Ensure any early childhood teacher assigned for a single group of children must meet qualifications. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: supervision. 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 9 staff files. Observed Mikahla to have expired department approved Shaken Baby/Abusive Head Trauma training. Observed Chloe Z. to have expired department approved Shaken Baby/Abusive Head Trauma training. Correction: Obtain documentation of department approved Shaken Baby/Abusive Head Trauma training for staff members Mikahla and Chloe Z. and put in staff file. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Identified Tylenol to be administered to child with written order of a health care provider as expired. Correction: Ensure any routine medication, prescription, or non-prescription is unexpired with written order of health care provider. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: health medication. 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 9 staff files. Observed Chloe Z., Chloe T., and Tatum to be missing documentation of department approved Intro to Early Intervention training. Correction: Obtain documentation of department approved Intro to Early Intervention training for staff members Chloe Z., Chloe T., and Tatum and put in staff files. Correct by 09/01/2024

Corrected Corrected by Sep 1, 2024

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.

Reviewed 9 staff files. Observed Tatum, Chloe T., and Chloe Z., to be missing documentation of department approved Impact of Bias on Early Childhood training. Correction: Obtain documentation of department approved Impact of Bias on Early Childhood training for staff members Chloe Z, Chloe T. and Tatum and put in staff files. Correct by 09/01/2024

Corrected Corrected by Sep 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Identified through director statement that Jessica as Director is responsible for child immunization records to have expired department approved immunization training. Correction: Obtain current documentation of department approved immunization training and put in staff file. Correct by 09/01/2024

Corrected Corrected by Sep 1, 2024

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

2.216.B.1.c.1 · 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: Toys and equipment, appropriate activities for infants and toddlers, appropriate sleep positions for infants and toddlers, and the safe and appropriate diaper change technique.

Reviewed 9 staff files. Observed Mikahla, Jessica, Tatum, and Chloe T. assigned to infant program to be missing documentation of 8 hours of orientation for infant program. Correction: Obtain documentation of infant program orientation for staff members Mikahla, Jessica, Chloe T., and Tatum and put in staff files. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: supervision. Marked corrected in the state record.

2.216.B.1.a · The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications:

Reviewed 9 staff files. Observed Karla as infant supervisor to be missing qualifications. Correction: Obtain documentation for staff member Karla and put in staff file. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: supervision. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

Identified staff members Kerri and Meredith assigned to Downstairs Preschool room during health and safety walkthrough to be missing documentation of qualifications. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure there is at least one qualified early childhood teacher supervising each group of children. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: supervision. 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, 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 9 staff files. Observed Chloe T. and Tatum to be missing documentation of TRAILS clearance. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Tatum and Chloe T. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff members Tatum and Chloe T. with written response to the Specialist. Correct immediately. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: supervision. Marked corrected in the state record.

7.702.62.C.15 · Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their back to sleep.

Identified through Infant program supervisor that an infant sleeping in a car seat was not immediately moved to their approved sleep area. Correction: Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their backs to sleep. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: supervision. Marked corrected in the state record.

7.702.41.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through Infant program supervisor that an infant sleeping in a car seat was not immediately moved to their approved sleep area. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.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.

Reviewed 4 staff files and observed Karla to be missing safe sleep training. Correction: Obtain documentation of current safe sleep training and send verification to specialist with written response. Correct by 07/20/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Jul 20, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 4 staff files and observed Karla to be missing standard precautions training. Correction: Obtain documentation of current standard precautions training and add to staff file. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: ratio. Marked corrected in the state record.

7.702.51.B.7 · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

An over the counter medication accessible to children on low shelf in the pre-K classroom. Correction: All medications, except those medications specified in the department-approved medication administration training as emergency medications, must be locked and inaccessible to children. ***CORRECTED AT TIME OF VISIT***

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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.

Reviewed 4 staff files and observed Karla to be missing shaken baby/ abusive head trauma training. Correction: Obtain documentation of current shaken baby/ abusive head trauma training and add to staff file. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 4 staff files and observed Kerri to be missing introduction to first aid and CPR module training. Correction: Obtain documentation of current introduction to first aid and CPR module training and add to staff file. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 4 staff files and observed Karla to be missing child abuse prevention training. Correction: Obtain documentation of current child abuse prevention training and add to staff file. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.45.B.1.d · The Infant Program Staff Aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an Infant Early Childhood Teacher.

Reviewed 4 staff files and observed staff members Nina and Karla to be classroom Aides for the infant classroom. Reviewed staff files and observed Nina and Karla to be missing documentation of infant program orientation. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The infant program staff aide must be at least 18 years of age, must have completed 8 hours of orientation as listed in rule 7.702.45.B, and must work under direct supervision of the Infant Early Childhood teacher. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: supervision. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

Reviewed 4 staff files and observed Karla to be missing emergency and disaster preparedness training. Correction: Obtain documentation of current emergency and disaster preparedness training and add to staff file. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.62.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Observed 6 sleeping mats placed less than 2 feet apart during rest time in the preschool classroom. Correction: Cots or pads must be spaced at least 2 feet apart on all sides during rest time. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Category: supervision. Marked corrected in the state record.

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

Observed sunscreen labeled keep out of reach of children accessible to children on low cubbies in the pre-K classroom. Observed white out labeled keep out of reach of children accessible to children on low shelf in the pre-K classroom. Correction: Items labeled keep out of reach of children must be inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Keep out of reach items were moved to high shelves making them inaccessible to children. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Marked corrected in the state record.

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

Teacher scissors accessible to children on low shelf in the pre-K classroom. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. ***CORRECTED AT TIME OF VISIT*** Teacher scissors moved to and area that is inaccessible to children. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Marked corrected in the state record.

7.702.71.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 clothespins accessible to children under 3 years of age hanging in the entryway to the infant and toddler classrooms and in the preschool classroom all posing a potential choke or inhalation hazard. Correction: Toys, toys parts, furnshings, equipment, and any materials accessible to children under 3 years of age must not be a choke hazard or able to be inhaled. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

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

7.702.91.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 an electrical outlet to be missing a protective cover accessible to children in the entryway of the infant and toddler classrooms. Correction: In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed. ***CORRECTED AT TIME OF VISIT*** Protective cover was placed on electrical outlet making the outlet inaccessible to children. Correct by 07/20/2023

Corrected Corrected by Jul 20, 2023

Marked corrected in the state record.