2.223.D.2 · In rooms used for napping, the lighting must be dim at nap time to promote an atmosphere conducive to sleep but must be bright enough for supervision of children.

In the Pre-K classroom at nap time licensing specialist observed the lights off and it was very dark and diffcult to see the children and staff in the classroom. Correction: In rooms used for napping, the lights must be dim at time to promote an atmosphere conducive to sleep, but be bright enough for supervision of children. ***Correcetd at the time of the visit the staff member turned on the restroom light making it dim not dark. No need for response on 10/21/2025.*** Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

Category: supervision. 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:

In the Daled classroom observed a teacher leave the classroom to take a break. The second staff member was left alone with 6 childre in the classroom from 12:21 PM to 12:53 PM. After a staff file review it was identified that the second staff member was lacking an Out of State Background clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member #2 have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letter for staff member #2 with written response to the Specialist by 11/3/2025. Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

Category: supervision. Marked corrected in the state record.

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 6 staff files and staff member 1 background portability request was filled out but never submitted to the department. Staff member(DOH 9/2/2025) 1 was working in the Gimmel with out a CBI or FBI clearance throughout the month of September. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member 1 have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI Clearance Letters for staff member 1 with written response to the Specialist by 11/3/2025. Correct by 10/21/2025 ________________________________________________

Corrected Corrected by Oct 21, 2025

Category: supervision. 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.

In the Grimmel classroom there was a container of paint markers with small lids that were sitting on the art shelf accessible to children under the age of 3 years old. The small lids were posing a possible choking hazard. In the Grimmel classroom there was a child under the age of 3 years old was wearing a chewy necklaces around thier neck. The small plastic pieces that hold the necklaces together poses a possible choking hazard. Correction: 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. ***Corrected at the time of the visit the staff members in the room removed the necklaces and the piant marker and places them up high and inaccessible to children on 10/21/2025. Respond with a plan for on going compliance by 11/3/2025. Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

Category: physical safety. 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 6 staff files and found that staff member 3 (DOH 6/4/2025) and staff member 4 (DOH 10/29/24) were both lacking a medical statement signed and dated by a doctor or other health care provider. Staff member 3 and Staff member 4 have been working at the facility for longer than 30 days. Correction: 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. Correct and repond with verification of complaince by 11/3/2025. Correct by 11/03/2025

Corrected Corrected by Nov 3, 2025

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

2.212.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed 6 staff files and staff member #1 (DOH 9/2/2025) was lacking a signed statement indicating that they have read and understand the center's polices and procedures. Correction: Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures. Correct immedaitely and respond with a plan of ongoing compliance by 11/3/2025. Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ disposal of biological contaminants.

Reviewed 6 staff files and staff member #1 (DOH 9/2/2025) was lacking a pre-service building and physical premises safety training. Correction: All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Correct immedaitely and respond with a plan of ongoing compliance by 11/3/2025. Correct by 10/21/2025

Corrected Corrected by Oct 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Reviewed a child's individaul health care plan and the individaul health care was expired. Correction: The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

Reviewed staff files and 1 staff member Menachem P was lacking a working with an Early Childhood Mental Health Consultant training. Correction: Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. Correct and respond with verification of compliance by 5/7/2025. Correct by 05/07/2025

Corrected Corrected by May 7, 2025

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

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

In the infant classroom there was one loose crib sheet that was not placed on the mattress properly. There was not a sleeping infant in the crib at the time of the visit. Correction: Mattresses for cribs and futons must have a properly fitted, clean sheet. ***Corrected at the time of the visit the staff member placed the sheet on properly. No response needed.*** Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

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

2.224.C.2 · Toddlers must be sitting when eating or drinking.

Outside on the toddler playground there was a child who was riding a bike drinking milk out of a bottle. Correction: Toddlers must be sitting when eating or drinking. ***Corrected at the time of the visit the staff member made the child sit down.***Respond with a plan of ongoing compliance by 5/7/2025. Correct by 04/07/2025

Corrected Corrected by Apr 7, 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 Preschool classroom there was a unplugged glue gun cord and a charging cord that was sitting on top of the sensory table accessible to children. The glue gun and the charging cord poses a possible stragulation hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. ***Corrected at the time of the visit the staff member placed all items up high and inaccessible to children. No response required.*** Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: physical safety. 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 staff files and 2 staff member Nicole D and Abigayil L were lacking a Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training. Correction: 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. Correct and respond with verification by 5/7/2025. Correct by 05/07/2025

Corrected Corrected by May 7, 2025

Category: recordkeeping. 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 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 staff files and 2 staff members Nicole D. and Abigayil L. were lacking a health statement signed and dated by a health care professional. Correction: 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

The Delad classroom was lacking a capacity. Correction: All facilities must must post in every room of the child care facility, the licensed capacity of the room and the staff to child ratio. ***Corrected at the time of the visit the director placed the posting up on 4/7/2025. No response required.*** Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: ratio. Marked corrected in the state record.

2.213.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 staff files and 1 staff member Menachem P was lacking a First Aid and CPR module. Correction: 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. Correct and respond with verification of compliance by 5/7/2025. Correct by 05/07/2025

Corrected Corrected by May 7, 2025

Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Care. 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 Department approved training.

Reviewed staff files and 1 staff member Menachem P was lacking a emergency and disaster preparedness training. Correction: Prior to caring for children, all staff must complete a State 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 site director must be trained in the State Department approved training. Correct immediately and respond with verification of compliance by 5/7/2025. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. 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 emergency drill logs and the drill log was lacking a Tornado drill for the month of March. Correction: 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. Correct and immediately respond with verification of compliance by 5/7/2025. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.C.4 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

Reviewed the nurse consultation notes and there were several missing consultations notes. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The date and content of each consultation must be recorded and maintained in the center's files for three (3) years. Correct and respond with verification of compliance by 5/7/2025. Correct by 05/07/2025

Corrected Corrected by May 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

Reviewed the Childcare Health Consultant Dora license and it was expired (9/30/2024). Correction: For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing. Correct and respond with verification of compliance by 5/7/2025. Correct by 05/07/2025

Corrected Corrected by May 7, 2025

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

2.218.A · The center must accept and care only for children of the ages for which it has been licensed. At no time shall the number of children in attendance exceed the number for which the center has been licensed.

Observed the director's 11 year child walking around the facility to the staff lounge during operating hours. The center must only care for children for which it has been licensed for. Correction: The center must accept and care only for children of the ages for which it has been licensed. At no time shall the number of children in attendance exceed the number for which the center has been licensed. Correct immediately and respond with verification of compliance by 5/7/2025. Correct by 04/07/2025

Corrected Corrected by Apr 7, 2025

Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the infant classroom there were 8 children present and only 7 children signed in on the attendance sheet. Also in the toddler classroom there were 10 signed in and only 9 children present. There was a child who was signed in the toddler classroom but was visiting in the preschool classroom. Correction: Review and ensure the time a child arrived and leaves the center each day must be recorded. Staff members

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

Licensing Specialist observed staff member Meira Roome outside on the playground alone with 4 children and Meira Roome is not a qualified early childhood teacher. Correction: Ensure that all groups of children must be assigned a qualified early childhood teacher. ***Corrected at the time of the visit the teacher went back inside the infant classroom with all 4 children and was with the INPS.*** Respond immediately with a plan of on going compliance by 5/22/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 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 7 staff files and 1 staff member Chaya Duato did not have a 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 staff member Chaya Duato has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff member Chaya with written response to Specialist by 5/22/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: supervision. Marked corrected in the state record.

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.

Licensing Specialist observed staff member Meira Roome outside on the playground alone with 4 children and Meira Roome has not successfully completed a state based 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 Meira Roome has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letter for staff member Meira Roome with written response to Specialist by 5/22/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: supervision. 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.

In the toddler classroom there were small sticks in their nature area and the stciks were small and posing a choking hazard. Also in the preschool classroom there were paint sticks that had small lids and marker lids that were posing choking hazards. All items listed above were accessible to children under the age of 3 years old. Correction: Ensure that all small items including small sticks and caps must be made inaccessible to children under the age of 3 years old. ***Corrected at the time of the visit the director removed the small stciks and the teacher in the preschool room removed the paint sticks lids and marker lids from the art shelf.***Respond immediately with a plan of on going compliance by 5/22/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 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.

Reviewed the facilities fire inspection and the fire inspection was expired. Correction: Ensure that the facility has a current fire inspection and renew every 2 years. Correct and respond immediately with verification of compliance by 5/22/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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