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

Reviewed 2 staff files and staff member number 1 was lacking an emergency and disaster training (FEMA). Correction: Review and ensure all staff complete an emergency and disaster training (FEMA) prior to working with children. Correct immediately and respond with verification of compliance by 4/17/2026. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

Category: recordkeeping. Marked corrected in the state record.

2.508.K · All staff in building-based school-age child care centers who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social emotional development.

Reviewed 2 staff files and staff member 1 is lacking 15 hours of ongoing professional development training. Correction: All staff in building-based school-age child care centers who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social emotional development. Correct and respond with a plan for ongoing compliance by 4/17/2026 Correct by 04/17/2026

Corrected Corrected by Apr 17, 2026

Category: recordkeeping. Marked corrected in the state record.

2.509.H · At least one (1) staff member with current Department-approved medication administration training and delegation must be on duty at all times.

At the time of the visit there were two staff members working the before school program. Identified through a staff file review staff member 1 had an expired delegation. There was no one on duty who had a current delegation. Correction: At least one (1) staff member with current Department-approved medication administration training and delegation must be on duty at all times. ***Corrected at the time of the visit the children were dismissed from the morning program on 3/17/2026.*** Respond with a plan for ongoing compliance by 4/17/2026. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

Category: ratio. Marked corrected in the state record.

2.511.C.5.a · -g 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ by the health care provider and parent(s) or guardian(s), and must include, but not be limited to, the following: a. Medication and dosing schedule; b. Nutrition and feeding instructions; c. Medical equipment or adaptive devices, including instructions; d. Medical emergency instructions; e. Toileting and personal hygiene instructions; f. Behavioral interventions; and g. Medical procedure/ intervention.

Reviewed several individual health care plans and 4 individual health care plans were expired. Also there was a health care plan with medication that was listed on a health care plan and the facility was missing the required medication. 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 health care provider and parent(s) or guardian(s), and must include, but not be limited to, the following medication. Correct immediately and respond with a plan for ongoing compliance by 4/17/2026. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

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

2.513.J · If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medications in accordance with 6 CCR 1007-2, Part 1, Regulations Pertaining to Solid Waste Sites and Facilities (March 30, 2024) and 6 CCR 1007-3, Parts 99 (June 30, 2018), 100 (July 15, 2020) and 260-265 (July 15, 2023), 266 (June 30, 2014), 267 (March 30, 2024), and 268 (July 15, 2023), and as required by the Colorado Department of Public Health and Environment (CDPHE) https://cdphe.colorado.gov/colorado-medication-take-back-program (2023), herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from CDPHE at https://www.sos.state.co.us/CCR. The recommendations are available at no cost from CDPHE at https://cdphe.colorado.gov/hm/prep-med-waste-disposal and https://cdphe.colorado.gov/colorado-medication-take-back-program. These regulations and recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Denver, CO 80246, during regular business hours..

Reviewed children's medications and there were 5 medications that were left over at the program. Correction: If a medication is expired or left over, the parent(s) or guardian(s) are responsible for picking up the medication. If the parent(s) or guardian(s) do not respond, the center must dispose of the medication. Correct immediately and respond with plan for ongoing compliance by 4/17/2026. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

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

2.524.A.9 · All outdoor play areas used for children’s activities must be checked prior to use 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.

Outside all through out the playground there was exposed weed barrier sticking up out of the wood chips posing a possible safety hazard. Outside on the playground there was exposed cement at the bottom of the three purple slides. The exposed cement is posing a possible safety hazard. Correction: All outdoor play areas used for children’s activities must be checked prior to use 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. Correct immediately with a plan of onging compliance (photos) by 4/17/2026. Correct by 03/16/2026

Corrected Corrected by Mar 16, 2026

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

2.527.C · Volatile substances, such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children.

At the time of the visit there were two pairs of adult scissors located accessible to children in an unlocked cabinet. The adult scissors were posing a possible safety hazard. Correction: Volatile substances, such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items, must be stored away from the area used for child care and be inaccessible to children. ***Corrected at the time of the visit the director placed the two pairs of adult scissors up high and inaccessible to children on 3/17/2026. Respond with a plan for ongoing compliance by 4/17/2026. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

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