2.124.A.3.b · Changes to a License Requiring Written Notification to the Department Prior to Department Approval - Changes in the physical facility or use of rooms for child care at a facility.

The school district gym, which is not a licensed space was being used as a multi-purpose gross motor space due to weather restrictions not allowing them outside. Correction: Written notification and approval from the state must be obtained prior to the use of new rooms. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

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

Two (2) out of five (5) child files reviewed did not have immunization records. Correction: Immunization status for enrolled children must be obtained prior to or on the first day of admission. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Category: health medication. 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.

A small black hair clip was accessible to children in a cubby in the Toddler room. This is a direct violation of stipulation K of the probationary license. "Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside." Correction: Chokeable items must be inaccessible to children under the age of three (3) years. Corrected at the time of visit by Desiree P., removing the hair clip making it inaccessible. Nothing additional needed. Correct by 09/19/2024

Corrected Corrected by Sep 19, 2024

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.

Two packages of wipes labeled keep out of reach of children were accessible on a low shelf in the classroom bathroom. This is a direct violation of stipulation K: Hazardous items, including items labeled "keep out of reach of children," must be inaccessible to children at all times, both indoors and outdoors. Correction: Items labeled "keep out of reach of children," must be inaccessible at all times. Corrected at the time of visit by Desi P. moving the wipes to a locked cabinet. Nothing additional needed. Correct by 08/20/2024

Corrected Corrected by Aug 20, 2024

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

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.

The fire inspection on file expired 6/15/2024. Correction: The program must obtain an approving fire inspection from the local fire department every two (2) years. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: health medication. 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.

Fire drills had not been completed in May, June or July during summer programming. Correction: Fire drills must be conducted monthly and a record of completed drills must be maintained at the center. Correct by 07/25/2024

Corrected Corrected by Jul 25, 2024

Category: recordkeeping. Marked corrected in the state record.

2.220.G.2 · When away from the classroom, staff assigned to supervise the child must carry the emergency medication.

An emergency medication required for a child in the preschool room was located inside the classroom in a cabinet while the class was playing outside for water play. Correction: While away from the classroom emergency medications must be carried by the staff who are supervising the child. Correct by 06/24/2024

Corrected Corrected by Jun 24, 2024

Category: supervision. Marked corrected in the state record.

2.230.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.

The infant/toddler playground has a staircase from the upper deck to the playground. Previously the program had a gate preventing toddlers from accessing the stairs independently but the gate was taken down. Licensing specialist observed the staircase to be a high risk area to toddlers. Correction: Staff must identify high-risk areas and make them inaccessible to children to reduce the risk of injuries. Correct

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.238.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of doors. All door hardware must be within the reach of children.

An infant seat and laundry basket were blocking the emergency exit in the infant room where the evacuation crib would need to go through in case of an emergency. Correction: There must be free and unobstructed egress from all parts of the building. Provide statement of compliance by 6/6/2024. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: physical safety. 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: 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.

One (1) out of six (6) child files did not have an immunization record in their file. Correction: Immediately ensure that immunization status is obtained prior to the first day of admission and is recorded as approved by CDPHE. Provide statement of compliance by 5/31/2024. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

Category: health medication. 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.

Two (2) out of six (6) child files had after care summary reports for their well child check but they were not signed by a health care professional. Correction: Ensure statement of health for enrolled children are signed and dated by a health care provider. Provide statement of compliance by 5/31/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: ratio. Marked corrected in the state record.

2.220.F.2 · Staff determined by the director, in consultation with the Department-approved child care health consultant, to be responsible for providing medications not covered in the approved medication administration training shall also be permitted to administer medications and/or medical treatments such as emergency seizure medication, insulin, or oxygen with individualized training and delegation from the Department-approved child care health consultant based on instructions from the child’s individualized health care plan.

Julie B. and Jessica W. did not have proof of a delegation from the nurse to administer a medication not covered in the medication training to a child in their care. Correction: Immediately ensure that staff are delegated by the nurse to administer medications not covered in the medication administration training and proof of delegation is available for review. Provide documentation and statement of compliance by 5/31/2024. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

Category: ratio. Marked corrected in the state record.

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

A bucket of ice melt was accessible on the patio where toddler children play. Additionally, a bag of soil was observed on a low shelf in the Tiny Turtles room. Both items were labeled, "Hazardous, and Keep out of Reach of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Children." Correction: Immediately ensure that items labeled, "keep out of reach of children," are inaccessible to children at all times. Corrected at the time of visit by Desi P. removing the snow melt and storing it in an inaccessible location. Kristie H. removed the bag of soil and placed it in an inaccessible location. Nothing additional needed. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

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.

A low, wooden balance beam on the toddler playground was observed to be peeling and not in good repair. Correction: Immediately ensure outdoor equipment is safe and free of hazard. Provide statement of compliance by 5/31/2024. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

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

2.230.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.

The ground cloth that is put down on a playground prior to the resilient surfacing being put it was exposed in several spots on the preschool playground. Correction: Immediately ensure that all outdoor areas where children play are kept safe and free of hazard. Provide statement of compliance by 5/31/2024. Correct by 05/01/2024

Corrected Corrected by May 1, 2024

Category: physical safety. 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.

Michaela B. had an expired Standard Precautions training. Correction: Immediately ensure that staff annually complete a Department-approved Standard Precautions training. Provide documentation and statement of compliance by 2/15/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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

Desiree P. was unable to locate her TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Desiree P. had reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for Desiree P. with written response to Specialist. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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 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.

Kristie H. had had TRAILS clearance letter in her file but it was not completed within the last five years. Correction: Immediately ensure that all staff complete the child abuse and neglect inquiry every five (5) years. Provide documentation and statement of compliance by 2/15/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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:

Through a staff file review it was determined that Michaela B. had lived outside of Colorado in the last five years but the program had not yet initiated 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 Michaela B. has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check and clearance letter for Michaela B. with written response to Specialist. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: supervision. 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.

Michaela B. had expired child abuse prevention training. Correction: Immediately ensure that all staff annually complete a Department-approved training about child abuse prevention. Provide documentation and statement of compliance by 2/15/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: recordkeeping. 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.

One (1) out of fifteen (15) child files were missing an annual health statement. Correction: Ensure that within thirty (30) days of enrollment the center obtains a health statement signed and dated by a health care professional for each child. Provide statement of compliance by 2/15/2024. Correct by 02/15/2024

Corrected Corrected by Feb 15, 2024

Category: ratio. Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

A staff member in the Tiny Turtles classroom was trying to talk to a child who had just climbed on another children. SM1 did not get on a child's level but insisted they stand up to get to the teacher's level when they were attempting to tell the child not to do something. The staff member was heard saying "stop doing that". Correction: Immediately ensure that guidance is appropriate and used as an opportunity to teach children self regulation, and empathy for others. Provide statement of compliance by 2/15/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Marked corrected in the state record.

2.230.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.

The steps leading up to the Infant/Toddler module was covered in snow and ice. Correction: Immediately ensure that the outdoor areas where children pass are kept safe and free from hazard. Provide statement of compliance by 2/15/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: physical safety. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

SM2 witnessed a reportable incident occur and did not immediately report it to the county department of human services. Desiree P. the director indicated the incident occurred on 10/2/2023 but did not report it until 10/4/2023, as this was their first time dealing with a situation like this and was unsure of the reporting procedures. Correction: Immediately ensure that any suspected child abuse or neglect is reported to the county immediately. Provide statement of compliance by 1/30/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

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.

Ann K. did not have a signed statement indicating that they had read and understood child abuse and neglect reporting requirements. Correction: Immediately ensure that each staff member read and sign and statement clearly defining child abuse and the responsibility to report all incidents. Provide statement of compliance by 1/30/2024. Correct by 01/16/2024 Stage II Licensing Concern : SM1 spanked CH1 in the classroom. CH3 witnessed CH1 being spanked causing CH3 to cover their own buttocks in fear. - FOUNDED

Corrected Corrected by Jan 16, 2024

Marked corrected in the state record.

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

CH1 was observed on video footage laying on top of a low shelf in the classroom. SM1 aggressively walks over to CH1 and swats them on their bottom. SM1 then picks a second child up and aggressively removes them from the shelf, putting them down on the ground, the second child then walks away holding their own buttocks. Correction: Immediately ensure that children are not subjected to physical or emotional harm. Provide statement of compliance by 1/30/2024. Correct by 01/16/2024 Stage II Licensing Concern : SM1 then aggressively jumped up and down while yelling at CH2 causing them to cry. - FOUNDED

Corrected Corrected by Jan 16, 2024

Marked corrected in the state record.

2.225.G · Verbal abuse and derogatory remarks about the child are not permitted.

CH1 was observed in video footage drinking out of a community pitcher of milk in the corner of the room. SM1 run aggressively over to CH1 while yelling at them. SM1 then began stopping up and down and shaking their fists, in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ front of CH1. SM1 then takes their glasses off and gets very close to CH1 face while yelling at them. This lasted approximately 10 seconds before SM1 walks away from CH1. Correction: Immediately ensure that verbal abuse to children is not permitted. Provide statement of compliance by 1/30/2024. Correct by 01/16/2024

Corrected Corrected by Jan 16, 2024

Category: supervision. Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

CH1 was observed in video footage drinking out of a community pitcher of milk in the corner of the room. SM1 run aggressively over to CH1 while yelling at them. SM1 then began stopping up and down and shaking their fists, in front of CH1. SM1 then takes their glasses off and gets very close to CH1 face while yelling at them. This lasted approximately 10 seconds before SM1 walks away from CH1. Correction: Immediately ensure that guidance at the center is appropriate and gives an opportunity to teach children. Provide statement of compliance by 1/30/2024. Correct by 01/16/2024 ________________________________________________ Stage II Licensing Concern : Program does not have enough adequate staff to provide breaks to teachers. - UNFOUNDED ________________________________________________

Corrected Corrected by Jan 16, 2024

Marked corrected in the state record.