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 12 staff files and observed 1 staff (Jackie M.) Lacking documentation of a completed TRAILS 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 members listed above have reviewed the powerpoint within 24 hours. Submit documentation TRAILS Clearance Letters for staff members listed above with written response to Specialist. Correct by 03/05/2025

Corrected Corrected by Mar 5, 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 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 12 staff files and observed 1 staff (Jackie M.) Lacking documentation of an FBI 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 members listed above have reviewed the powerpoint within 24 hours. Submit documentation FBI Clearance Letters for staff members listed above with written response to Specialist. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: supervision. 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.

Program lacking documentation of Tornado drills for March - October 2024, and documentation of lock down drills for the 2024-2025 school year. Correction: Immediately (13/5/25) ensure that all required drills are completed within the required timeframes and documentation of each drill is maintained. Provide a written statement of compliance within the overall response. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. 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.

Classroom 102 to not have a qualified ECT present at the time of the inspection. Correction: Immediately (3/5/25) ensure that a qualified Early Childhood Teacher is assigned to supervise each group of children at all times. Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: supervision. Marked corrected in the state record.

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Reviewed 3 medications in Classroom 105 and observed 2 prescription medications lacking and pharmacy label and 1 prescription medication to have an incorrect pharmacy label. Correction: Immediately (3/5/25) ensure that all prescription medications contain an original pharmacy label. Provide a written statement of compliance with in the overall response. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

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

2 bottles of hand soap on the sinks in Classroom 104 and 1 bottle of hand soap in the restroom of Classroom 102 labeled "keep out of reach of children" accessible to children, posing a possible hazard. Correction: Immediately (3/5/25) ensure all items labled "Keep out of reach of children" are in accessible to children at all times. Staff moved the items listed above to a location inaccessible to children at the time of the inspection. NO RESPOSNE REQUIRED. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: physical safety. 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.

Small plastic rubber balls and small plastic toy food in Classroom 107 accessible to children less than 3 years of age, posing a possible choking hazard. Correction: Immediately (3/5/25) ensure that all toys, toy parts, furnishings and equipment that is accessible to children less than 3 years of age is large enough to not be a choke hazard or able to be swallowed. Items listed above were removed by staff at the time of the inspection. NO RESPONSE REQUIRED. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: nutrition. Marked corrected in the state record.

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

A bin with sunscreens in the restroom of classroom 4 and two spray bottles of cleaners on the counter in classroom 1 labled "keep out of reach of children" and accessible to children and posing a possible hazard. Correction: Provider moved the sunscreens to an upper shelf and moved the cleaners inside the kitchen area making the items in accessible to children at the time of the inspection. NO RESPONSE REQUIRED. Correct by 04/15/2024

Corrected Corrected by Apr 15, 2024

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

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.

Program lacking documentation of a current immunization training certificate for the appointed child care health consultant. Correction: Immediately (4/15/24) ensure that the program obtains and maintains a current training certificate in the immunization course for the current child care health consultant. Provide a written statement of compliance within the

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

A toy riding car with broken plastic eyes on the 2s playground. Correction: Immediately (11/15/23) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Toy car was moved off of the 2s playground at the time of the inspection making it inaccessible. NO RESPONSE REQUIRED. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

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

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

A small bottle of hand sanitizer labeled "keep out of reach of children" on a shelf accessible to children posing a possible hazard. Correction: Immediately (11/15/23) ensure that all items labeled "keep out of reach of children" are in accessible to children at all times. Sanitizer was moved to a higher hook at the time of the inspection making it inaccessible. NO

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.702.46.A.15 · Maximum Group Size for Children by AGES OF CHILDREN and MAXIMUM GROUP SIZE: 6 weeks to 18 months: 10 infants 12 months to 36 months: 10 toddlers 24 months to 36 months: 14 toddlers 2-1/2 years to 3 years: 16 children 3 years to 4 years: 20 children 4 years to 5 years: 24 children 5 years and older: 30 Children Mixed age group 2-1/2 to 6 years of age: 20 Children

24 children ages 3-4 years and 3 staff on the preschool playground at the time of the inspection, exceeding the maxiumum group size for the age group. Correction: Immediately (10/11/2023) ensure the maximum group size for children ages 3-4 years of age does not exceed 20 children. Provide a written statement of compliance within the overall response. Correct by 10/18/2023

Corrected Corrected by Oct 18, 2023

Category: ratio. Marked corrected in the state record.

7.701.33.A.1 · Each applicant listed below must submit to the Colorado Bureau of Investigation (CBI) and the Federal Bureau of Investigation (FBI) a complete set of fingerprints taken by a qualified law enforcement agency or any third party vendor approved by CBI including county departments of human or social services that use fingerprint machines pursuant to Section 19-3-406(1)(C),(2), C.R.S., to obtain any fingerprint criminal history record held by the CBI and FBI. If a third party takes the individual’s fingerprints, the fingerprints may be electronically captured using CBI’s approved LiveScan equipment. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows:

Reviewed 5 staff files and observed Adrianna C. lacking documentation of a complete criminal record check. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This is a violation of stipulation J that states: "Licensee shall timely submit a fingerprint-based background check and Trails abuse/neglect background inquiry request for any new hire. Documentation of the background check must be maintained in the staff file at all times" Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Adrianna C has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI Clearance Letters for staff members Adrianna C along with a written plan of action with response to specialist. Correct by 10/11/2023

Corrected Corrected by Oct 11, 2023

Category: background checks. Marked corrected in the state record.

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 5 staff files and observed Adrianna C. lacking documentation of a complete criminal record check. This is a violation of stipulation K that states: "K. Licensee shall ensure that staff background check requests are submitted and successfully completed for all individuals whose activities involve the care or supervision of children, or who have unsupervised access to children, prior to that individual caring for children, or being allowed to have unsupervised access to children" Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Adrianna C has reviewed the powerpoint within 24

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.