Stepping Stones

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 18 staff files and found 1 staff file having an expired Trails child abuse or neglect records request. Found 4 staff to be missing Trails child abuse or neglect records request. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of Trails clearance letters for staff members with written response to specialist. Correct by 12/17/2025

Corrected by Dec 17, 2025

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 18 staff files and found one file to be missing criminal background check requests. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letters for staff member with written response to specialist. Correct by 12/17/2025

Corrected by Dec 17, 2025

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Found health inspection on file to be expired. Correction: Obtain documentation of current health inspection and submit documentation to specialist with written response. Correct by 12/17/2025

Corrected by Dec 17, 2025

2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

Reviewed 18 staff files and found 5 files to be missing a signed immunization statement or immunization record. Correction: Obtain documentation of signed immunization statements or immunization records and submit plan of compliance to specialist with written response. Correct by 01/17/2026

Corrected by Jan 17, 2026

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 18 staff files and found 8 files to be missing medical statements. Correction: Obtain documentation of medical statements and submit plan of compliance to specialist with written response. Correct by 01/17/2026

Corrected by Jan 17, 2026

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 18 files and found two files having expired department-approved standard precautions training. Correction: Obtain documentation of standard precautions training and submit documentation to specialist with written response. Correct by 12/17/2025

Corrected by Dec 17, 2025

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 18 files and found two files having expired department-approved child abuse prevention training. Correction: Obtain documentation of child abuse prevention training and submit documentation to specialist with written response. Correct by 12/17/2025

Corrected by Dec 17, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ counted towards ongoing professional development.

Reviewed files for director and assistant director and found assistant director to be missing the training: Introduction to Child Care Health Consultation. Correction: Obtain documentation of Introduction to Child Care Health Consultation training and submit documentation to specialist with written response. Correct by 01/17/2026

Corrected by Jan 17, 2026

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 the assistant director as the staff member responsible for the collection, review, and maintenance of the child immunization records. Found the assistant director having an expired immunization training. Correction: Obtain documentation of current immunization training and submit documentation to specialist with written response. Correct by 01/17/2026

Corrected by Jan 17, 2026

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 Child Care Health Consultant file and found file having an expired immunization training. Correction: Obtain documentation of current immunization training for Child Care Health Consultant and submit documentation to specialist with written response. Correct by 01/17/2026

Corrected by Jan 17, 2026

2.121.D.4.a · Criminal background check requests must be successfully completed 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 15 staff files. Observed Jennifer as Director to be missing documentation of CBI and FBI clearance. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verifictation that staff member Jennifer has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI for staff member Jennifer with written response to specialist. Correct immediately. Correct by 01/30/2024

Corrected by Jan 30, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ site director must be trained in the Department approved training.

Reviewed 15 staff files. Observed Bailey to be missing documentation of department approved disaster preparedness training. Correction: Obtain documentation of department approved disaster preparedness training and put in staff file. Correct immediately. Correct by 01/30/2024

Corrected by Jan 30, 2024

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 15 staff files. Observed Cory, Ella, Erica, Martha, and Marley to be missing documentation of medical statement. Observed Don to have an expired medical statement without self-reported health history. Correction: Obtain documentation of medical statement and put in staff files. Correct by 2/29/2024. Correct by 02/29/2024

Corrected by Feb 29, 2024

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 15 staff files. Observed Cory to be missing documentation of department approved Child Prevention Training. Correction: Obtain documentation of department approved Child Abuse prevention training and put in staff file. Correct by 2/29/2024. Correct by 02/29/2024

Corrected by Feb 29, 2024

2.217.C.7 · All Department-approved child care health consultants must complete the Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ child care health consultant introductory training course within six (6) months of hire. Child care health consultants must complete Department-approved ongoing professional development training every three (3) years. The center must obtain and maintain proof of training completion.

Reviewed CCHC file. Observed CCHC to be missing documentation of department approved child care health consultant introductory training course. Correction: Obtain documentation of child care health consultant introductory training course and put in CCHC file. Correct by 2/29/2024. Correct by 02/29/2024

Corrected by Feb 29, 2024

2.220.F · Staff designated by the director to give medications must complete the Department-approved medication administration training and have current annual delegation or more often as determined by the Department-approved child care health consultant. Delegation must be from the center’s current Department-approved child care health consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current cardiopulmonary resuscitation (CPR) and first aid training prior to administering medication with the following exceptions:

Reviewed 15 staff files. Observed Monique, Natalie, and Alicia to have current medication administration training without delegation. Correction: Obtain documentation of delegation from the department approved child care health consultant and put in staff file. Correct immediately. Correct by 01/30/2024

Corrected by Jan 30, 2024

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

Observed prescribed Cetirizine Hydrochloride medication in Hummingbirds classroom to be expired. Correction: Ensure out of date medication is picked up by parent(s) or guardian(s). If parent(s) or guardian(s) do not respond, ensure medication is disposed. Correct immediately. Correct by 01/30/2024

Corrected by Jan 30, 2024

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

Observed in Main Coyote classroom to have Dial hand soap labeled "keep out of reach of children" by FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ handwashing sink. Observed in Marmots classroom to have Member's Mark Baby wipes labeled "keep out of reach of children" Correction: Ensure items labeled "keep out of reach of children" are inacessible to children. Correct immediately. ***CORRECTED AT TIME OF VISIT*** Director placed hand soap in cabinet above sink in Main Coyotes inacessible to children. Director placed wipes on top shelf in bathroom inaccessible to children. Correct by 01/30/2024

Corrected by Jan 30, 2024

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

Observed in Blue Bird classroom to have staples on Birthday Board accessible to children under three (3) years of age. Correction: Ensure staples are inaccessible to children less than three (3) years of age. Correct immediately. Correct by 01/30/2024

Corrected by Jan 30, 2024

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 Blue Birds classroom to have trains with wheels causing potential choke hazard. Correction: Ensure any area of the facility accessible to children under three (3) years of age are free of any choke or inhalation hazards including toys and toy parts. Correct immediately. Correct by 01/30/2024

Corrected by Jan 30, 2024