2.124.A.1.b · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within 24 hours of the incident. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through documentation facility did not file an online injury report with the Colorado Department of Early Childhood, Division of Early Learning, Licensing and Administration for an incident that took place on 9/15/2025 and received medical attention by a health care provider. Correction: Facility will submit a plan of action of compliance for reporting all injuries that requiring medical attention. Correct immediately. Submit verification of documentation and written compliance to specialist. Correct by 12/17/2025 ________________________________________________

Corrected Corrected by Dec 17, 2025

Category: ratio. 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.

Preschool playground to have multiple wooden timbers/borders chipping/splintering causing sharp jagged edges creating a potential safety hazard to children on the playground. Preschool playground to have gray wooden borders at the entrance that are loose creating a potential safety hazard. Preschool playground to have a large gap FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ approximately 8 inches wides where two pieces of the resilient surface should meet, by the small wooden bridge, creating a tripping hazard. Correction: All outdoor play areas must be safe and free from hazards. Facility will submit a plan of action for compliance. Correct immediately. Submit verification of documentation and written compliance to specialist. Correct by 12/17/2025

Corrected Corrected by Dec 17, 2025

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

2.223.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. 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. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

Infant Room 122 to be using cots for two infants age 12 months and 14 months without an approved waiver. Correction: Facility will submit a plan of action for all infants to be provided approved sleep/rest equipment. Correct immediately. Submit verification of documentation and written compliance to specialist. Correct by 12/17/2025

Corrected Corrected by Dec 17, 2025

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.

In a review of 17 staff files, two staff (Nancy L and Maria S) were found to be missing current documentation of a Department-approved standard precautions training. Correction: 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. Correct

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

In a review of 17 staff files, one staff (Nancy L) was found to be missing current documentation of a Department-approved safe sleep training. Correction: All staff must complete a Department-approved safe sleep training prior to working with infants less than 12 months old. This training must be renewed annually and will be counted towards ongoing professional development. Correct immediately. Provide written verification to licensing specialist that Nancy L has completed the training and place documentation in her file. Correct by 01/21/2025

Corrected Corrected by Jan 21, 2025

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

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

In a review of 17 staff files, one staff (Nancy L) was found to be missing current documentation of a Department-approved prevention of shaken baby/abusive head trauma training. Correction: All staff working with children less than three years of age must complete a department-approved prvention of shaken baby/abusive head trauma training prior to working with children. Correct Immediately. Provide written verification to licensing specialist that the staff member completed the training and place documentation in their file. Correct by 01/21/2025

Corrected Corrected by Jan 21, 2025

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.

In a review of 17 staff files, three staff (Nancy L, Ruth C, and Erika V) were found to be missing current documentation of a Department-approved training about child abuse prevention. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within thirty calendar days of employement, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention. This training must be renewed annually. Correct immediately. Submit written verification to licensing specialist when training has been completed and documentation has been placed in the employees files for Nancy, Ruth and Erika. Correct by 01/21/2025

Corrected Corrected by Jan 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Review of staff file for Eva P. showed documentation to be missing for current department-approved Infant Safe Sleep training. Correction: Staff working with infants less than 12 months old must complete a Department-approved safe sleep training prior to working with infants less than 12 months old. This training must be renewed annually. Correct immediately. Once training is completed documentation must be placed in staff file and written verification of completion sent to licensing specialist. Correct by 02/27/2024

Corrected Corrected by Feb 27, 2024

Category: physical safety. 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.

Review of staff file for Bennie M. showed documentation to be missing for current department-approved child abuse prevention training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within 30 calendar days of employment, all employees and regular volunteers must be trained using a department-approved training about child abuse prevention. The training must be renewed annually. Correct immediately. Once training is completed documentation must be placed in staff file and written verification of completion sent to licensing specialist. Correct by 02/27/2024

Corrected Corrected by Feb 27, 2024

Category: recordkeeping. Marked corrected in the state record.

2.216.B.1.c · Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. The orientation may include, but not limited to, the following topics:

Upon review of staff files, seven staff members (Bennie M, Jackie S, Maria S, Barbara D, Rosa A., Frances G, and Ruth C), were observed to be missing documentation of 8 hours of orientation in the infant program under the supervision of an infant program supervisor. Correction: Prior to being assigned to a group of children, the infant program early childhood teaher must complete eight hours of orientation in the infant program under the supervision of the infant program supervisor. Correct immediately. Once training is completed documentation must be placed in staff file and written verification of completion sent to licensing specialist. Correct by 02/27/2024

Corrected Corrected by Feb 27, 2024

Category: supervision. Marked corrected in the state record.

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

On the infant and toddler playground, large gaps (4-5" wide) between the gate door and wall of the chain link fencing in the back corner of the playground behind the playhouse and the fencing next to the playground entrance are observed. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

An electric outlet near the floor in the toddler hallway was missing a protective cover. Another electric outlet in main hall outside the preschool classrooms was broken and also missing a protective cover. Correction: In rooms used by children, all electrical outlets that are accessible to chidren must have protective covers or safety outlets installed. Correct immediately. Once corrected, send written verification to licensing specialist. Correct by 02/27/2024

Corrected Corrected by Feb 27, 2024

Marked corrected in the state record.