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 4 staff files and observed 1 staff (Malana P) lacking documentation of a completed TRAILS background check. Correction: Immediately (7/8/25) ensure that all individuals with incomplete background checks are supervised at all times by an individual with successfully completed background checks. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the above listed staff members have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for Malana P with written response to Specialist. Correct by 07/08/2025

Corrected Corrected by Jul 8, 2025

Category: supervision. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 3 children's files and observed 3 children lack an authorization for emergency medical care that FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ was signed and dated by the parent/guardian. Correction: Immediately (7/8/25) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response." Correct by 07/08/2025

Corrected Corrected by Jul 8, 2025

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.

Reveiwed 3 children's files and observed 2 children lacking documentation of a current health statement signed by a medical provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a health care provider per the above guidelines. Correct by 08/08/2025

Corrected Corrected by Aug 8, 2025

Category: ratio. 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.

Reviewed 5 staff staff files and observed 1 staff (Nonie W.) lacking documentation of a current standard precautions training. Correction: Immediately (7/29/24) ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. 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.

Reviewed 5 staff files and observed 2 staff (Nonie W. and Madison E) lacking documentation of a current department approved training regrading child abuse prevention. Correction: Immediately (date) ensure that the program obtains and maintains current documentation of the Mandated

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.

Maricela D. alone supervising a group of children and lacking documentation of ECT qualifications in the Busy Bees classroom. Correction: Immediately (7/29/24) ensure that a qualified Early Childhood Teacher is assigned to supervise each group of children at all times. Corrected at time of inspection program combined classrooms to ensure that Maricela D. was working with a qualified early childhood teacher. Provide a written plan of action within the overall response Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: supervision. Marked corrected in the state record.

2.209.A.7 · An admission record must be completed for each child prior to or at the time of the child's admission. This record must be updated annually and when changes occur. The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 2 children's files and observed 1 child lacking an authorization for emergency medical care by a parent/guardian. Correction: Immediately (7/29/24) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response. Correct by 07/29/2024

Corrected Corrected by Jul 29, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 2 children's files and observed 1 child lacking documentation of a current health statement signed by a health care provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a health care provider per the above guidelines. Correct by 08/29/2024

Corrected Corrected by Aug 29, 2024

Category: ratio. 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 5 staff files and observed 1 staff (Marciela D) lacking documentation of CBI clearance letters. 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 have reviewed the powerpoint within 24 hours. Submit documentation of CBI Clearance Letters for staff members listed above with written response to the Specialist. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: supervision. Marked corrected in the state record.

7.702.66.A.2 · The center must obtain written permission from the parent(s)/guardian(s) for any transportation of their child(ren) while in care.

Reviewed (3) child files and observed 2 files lacking written permission from parent(s)/guardian(s) for transportation of their children while in care. Correction: Immediately (8/29/23) ensure that the program obtains and maintains written permission from parent(s)/guardian(s) for transportation of all children while in care. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: transportation. Marked corrected in the state record.

7.702.31.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed 3 children's files and observed all files lacking documentation of a signed Reviewed 3 children's files and observed all fiels lacking documentation of the program's policies and procedures document, signed and dated by the parent/guardian. Correction: Immediately (8/29/23) ensure that the program obtains and maintains documentation of a signed and dated policies and procedures document by the parent/guardian for all children. Provide a written statement of compliance within the overall response. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Marked corrected in the state record.

7.702.42.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 5 staff files and observed (Margo B.) lacking the Department-approved training: Working with an Early Childhood Mental Health Consultant. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Provide a written statement of compliance within the overall response ensuring the above listed staff have completed the Department-approved training: Working with an Early Childhood Mental Health Consultant. Correct by 09/29/2023

Corrected Corrected by Sep 29, 2023

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

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility.

Reviewed 3 children's files and observed all files lacking documentation of a current authorization for emergency medical care by a parent/guardian. Correction: Immediately (8/29/23) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.702.42.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 5 staff files and observed Margo B. lacking documentation of a completed First Aid and CPR Module training for those staff not required to be certified in First Aid and CPR training. Correction: Provide a written statement of compliance within the overall response ensuring that all staff, to include the above listed staff, have completed the Department-approved training for Introduction to First Aid and CPR module. Correct by 09/29/2023

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 5 staff files and observed (Margo B., Marla P., Nonie W., Madison E. and Aniyah T.) lacking documentation of the Department-approved training regarding child abuse prevention. Correction: Immediately (8/29/23) ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 5 staff files and observed (Margo B., Madison E. and Aniyah T.) lacking the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Provide a written statement of compliance within the overall response ensuring that all staff to include the above listed staff have completed the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs. Correct by 09/29/2023

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 5 staff files and observed (Margo B., Madison E. and Aniyah T.) lacking the Department-approved training for The Impact of Bias on Early Childhood Professionals or other Department-Approved training on implicit bias. Correction: Provide a written statement of compliance within the overall response ensuring that the program obtains documentation of training completion, for all staff, for the Impact of Bias on Early Childhood Professionals or other department approved training on Implicit Bias. Correct by 09/29/2023

Corrected Corrected by Sep 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.M · 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.

Program lacking documentation of the current completed Department approved CDPHE immunization course for all staff (Margo B. and Marla P.) who are responsible for the collection, review, and maintenance of children's immunization records. Correction: Immediately (8/29/23) ensure that the program obtains and maintains a current training certificate of the CDPHE immunization training for all staff who collect, review and maintain children's immunization documents. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.701.34.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.

Program lacking documentation of a current fire inspection. Correction: Provide documentation through an approving fire inspection from the local fire department, along with a written statement of compliance within the overall response ensuring that a current fire inspection has been obtained and will be maintained. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

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

7.702.42.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 counted towards ongoing professional development.

Reviewed 5 staff files and identified (Margo B.) lacking the Department-approved training for Introduction to Child Health Consultation. Correction: Provide a written statement of compliance ensuring that the above listed staff have completed the Department-approved training: Introduction to Child Health Consultation. Correct by 09/29/2023

Corrected Corrected by Sep 29, 2023

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

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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.

Reviewed (3) child files and observed 2 files lacking current health statement signed and dated by health care provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a healthcare provider. Correct by 09/29/2023

Corrected Corrected by Sep 29, 2023

Category: ratio. Marked corrected in the state record.

7.702.51.C.1 · The center must obtain written authorization and instructions from the parent(s)/guardian(s) for the application of sunscreen or the use of another form of parent(s)/guardian(s) approved sun protection with a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ full-spectrum UVA/UVB rating of SPF thirty (30) or greater to their children's exposed skin prior to outside play year-round. a doctor's permission is not needed to use sunscreen at the center.

Reviewed (3) child files and observed 2 files lacking written authorization from parent(s)/guardian(s) for the application of sunscreen. Correction: Immediately (8/29/23) ensure all children's files have written authorization and instructions from the parent/guardian for the application of sunscreen. Provide a written statement of compliance within the overall response. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Marked corrected in the state record.

7.702.32.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

Identified during walk through that children are not being signed in and out daily by parents or legal guardians. Correction: Immediately (8/29/23) ensure that the program maintains documentation for each child being signed in and out daily that includes the name of each child, the date, time and signature of the parent/legal guardian. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: transportation. Marked corrected in the state record.

7.702.42.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 disposal of biological contaminants.

Reviewed 5 staff files and observed (Margo B., Marla P., Aniyah T., Madison E., Nonie W.) lacking FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documentation for the review of the Building and Physical Premises Safety Plan and training. Correction: Immediately (8/29/23) ensure that the program obtains a building and physical premises safety plan and maintains documentation through certificates for all staff being trained on the plan. Provide a written statement of compliance within the overall response." Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 5 staff files and observed (Margo B., Marla P., Madison E., Aniyah T.) to be lacking documentation of a current certificate of training in Standard Precautions. Correction: Immediately (8/29/23) ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 08/29/2023

Corrected Corrected by Aug 29, 2023

Category: ratio. Marked corrected in the state record.