2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

In the Infant 1 classroom, observed 2 infant chairs stored under one evacutation crib. Correction: Evacuation equipment must not have anything stored in or under and must not block exit routes. **Corrected at time of visit, staff member removed the infant chairs on 6/9/2026.** No response is required. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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

2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

In the Infant 2 classroom, observed 2 infants old enough to hold their own bottles laying flat while drinking. Correction: Infants less than six (6) months must be held for bottle feeding and older infants must not be allowed to hold their own bottles when lying flat. Correct immediately and respond with plan for ongoing compliance by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

Marked corrected in the state record.

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In an unsecured storage room, observed several containers of paint on a low shelf, accessible to children and posing a potential safety hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Keep all volatile substances inaccessible to children at all times. **Corrected at time of visit, staff member locked the storage room door on 6/9/2026.** No response is required. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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

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

Observed the following items labeled "keep out of reach of children" accessible to children and posing a potential safety hazard: In the School-Age classroom 3 bottles of sunscreen were in the cubbies. In the Pre C1 classroom, baby wipes were on a low shelf. In the unsecured storage room; dish soap, Windex, disenfectant and bug/rodent/insect killer were on a low shelf. Correction: All items labeled "keep out of reach of children" must be inaccessible to children at all times. **Corrected at time of visit, staff member removed the sunscreen and baby wipes and locked the storage room door on 6/9/2026.** Respond with plan for ongoing compliance by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

In the School-Age classroom, observed a loose grocery bag in the cubby accessible to children and posing a potential safety hazard. Correction: Keep all loose bags inaccessible to children at all times. **Corrected at time of visit, staff member removed the plastic bag.** No response is required. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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

2.229.S.1 · In the toddler program, some play materials and equipment easily accessible to children must be provided from each of the following categories: Books and pictures

In the Toddler 1 classroom, observed the reading area to be lacking books. SM1 stated the children tore them up so they removed the books. Correction: Books must be accessible to children at all times. Correct immediately and respond with plan for ongoing compliance by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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 Outdoor Gross Motor area, observed an extension cord with exposed wires not in use, accessible to children and posing a potential safety hazard. Correction: All indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately and respond with plan for ongoing compliance by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

In the School-Age classroom, observed sunscreen lacking the child's first and last name. Correction: All sunscreen must be labeled with the child's first and last name. Correct immediately and respond with statement of compliance by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 34 staff files. Observed SM15 and SM25's file to be lacking documentation of a TRAILS clearance letter. Observed SM15 to be working alone with children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 15 and 25 have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff members 15 and 25 with written response to the Specialist by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

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 34 staff files. Observed SM15 and SM25's file to be lacking documentation of a CBI clearance letter. Observed SM15 to be working alone with children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 15 and 25 have reviewed the powerpoint within 24 hours. Submit documentation of CBI Clearance Letter for staff members 15 and 25 with written response to the Specialist by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

Category: supervision. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 34 staff files. Observed SM25's file to be 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 25 has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter for staff member 25 with written response to the Specialist by 7/9/2026.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 34 staff files. Observed SM32 (doh 6/4/25) and SM34's (doh 5/4/26) files to be lacking documentation of a medical statement, signed and dated by a physician or other health care provider. Correction: All staff must submit to the center a medical statement, signed and dated by a physician or other health care provider. Correct and submit verification of compliance by 7/9/2026. Correct by 07/09/2026

Corrected Corrected by Jul 9, 2026

Category: health medication. 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 34 staff files. Observed SM33's (doh 4/16/26) file to be lacking documentation of a Department-approved First Aid and CPR module. Correction: 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. Correct and respond with document of training by 7/9/2026. Correct by 07/09/2026

Corrected Corrected by Jul 9, 2026

Marked corrected in the state record.

2.213.G · All employees and regular volunteers must be trained using a Department-approved training about Child Abuse Prevention prior to working with children, which includes common symptoms and signs of child abuse, how to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 34 staff files. Observed SM28's (doh 12/31/25) file to be lacking documentation of a Department-approved child abuse training. Correction: Obtain a Department-approved training about child abuse prevention for all staff prior to working with children. Correct immediately and respond with documentation of training by 7/9/2026. Correct by 06/09/2026

Corrected Corrected by Jun 9, 2026

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 34 staff files. Observed SM26 (doh 1/8/24), SM31 (9/18/25) and SM32's (6/4/25) file to be lacking documentation of at least one (1) hour of child development training. Correction: Obtain at least one (1) hour of child development training for all staff. Respond with documentation of training by 7/9/2026. Correct by 07/09/2026

Corrected Corrected by Jul 9, 2026

Category: recordkeeping. Marked corrected in the state record.

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

In the Pre-K 2 classroom, observed paint chipping under the window sill. Correction: Buildings must be kept in good repair and maintained in a safe condition. Correct immediately and respond with verification of compliance by 7/22/2025. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

Marked corrected in the state record.

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

In the Infant 2 classroom, observed 2 large storage bins and a large storage bag next to the evacuation crib, as well as a blue zipper bag under the evacuation crib. Correction: Nothing may be stored under any evacuation equipment. **Corrected at time of visit, Director Anne removed the items on 7/15/25.** No response is required. Correct by 07/15/2025

Corrected Corrected by Jul 15, 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 Pre-K 1 classroom, observed the edges of a floor rug lifting, posing a potential tripping hazard. In the Preschool C1 classroom, an extension cord longer than 18 inches was accessible to children by the cubbies and pose a potential safety hazard. On the outdoor grass area, the tape wrapping the bottom of the picnic benches poles were coming loose, posing a potential safety hazard. On the Preschool Playground, observed the pour in play to be cracking and several places containing holes or missing pieces of the pour in play, posing a potential safety hazard. Correction: Keep all indoor and outdoor equipment, materials and furnishings sturdy, safe and free of hazards. Correct immediately and respond with plan for ongoing compliance by 7/22/2025. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

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

2.230.F · Trampolines and inflatable bouncers are prohibited.

In the Gross Motor outdoor space, observed an inflatable pool being used by the Pre-K 1 classroom. Correction: Inflatable bouncers are prohibited. **Corrected at time of visit, Director Shelley removed the inflatable pool on 7/15/25.** No response is required. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

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 20 staff files. Observed Shelley C.'s file to be lacking current documentation of a standard precautions training. Correction: Obtain documentation of completion of a Department-approved standard precautions training for all staff prior to working with children and renewed annually. Correct immediately and respond with verification of compliance by 7/22/2025 Correct by 07/15/2025

Corrected Corrected by Jul 15, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 20 staff files. Observed Shelley C. and Anne F.'s files to be lacking documentation of a Department-approved infant safe sleep training. Identified through Director's statement, Shelley and Anne give breaks in all the classrooms, including the infant classrooms. Correction: Obtain documentation of completion of a Department-approved infant safe sleep training for all staff prior to working with children under 12 months of age. Correct immediately and respond with verification of compliance by 7/22/2025. Correct by 07/15/2025

Corrected Corrected by Jul 15, 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.

Reviewed 20 staff files. Observed Shelley C. and Anne F.'s files to be lacking current documentation of a Department-approved shaken baby training. Identified through Director's statement, Shelley and Anne give breaks in all the classrooms, including children under 3 years of age. Correction: Obtain documentation of completion of a Department-approved shaken baby training for all staff prior to working with children under 3 years of age. Correct immediately and respond with verification of compliance by 7/22/2025. Correct by 07/15/2025

Corrected Corrected by Jul 15, 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.

Reviewed 20 staff files. Observed Shelley C. and Anne F.'s files to be lacking current documentation of a Department-approved child abuse prevention training. Correction: Obtain documentation of completion of a Department-approved child abuse prevention training. Correct immediately and respond with verification of compliance by 7/22/2025. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

Category: recordkeeping. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 20 staff files. Observed Elizabeth G. and Natasha N.'s files to be lacking a current TRAILS clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Elizabeth G. and Natasha N. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff members Elizabeth G. and Natasha N. with written response to the Specialist by 7/22/2025. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 20 staff files. Observed Elizabeth G. and Natasha N.'s files to be lacking a current 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 Elizabeth G. and Natasha N. have reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter for staff members Elizabeth G. and Natasha N. with written response to the Specialist by 7/22/2025. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

Category: background checks. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In Preschool B (2.5yrs -3 years), observed containers with broken crayon pieces and markers with small lids; in Preschool A2 (2.5-3 years), observed small clothes pins holding up children's art work and markers fitted into a wood stand with lids that had come unglued. These items were small enough to fit inside a choke tube, posing a potential choking hazard. Correction: Keep all items small enough to fit inside a choke tube inaccessible to children under the age of 3 years at all times. **Corrected at time of visit - staff stored items inaccessible to children on 3/4/25.** No response required. Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

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

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through multiple staff's statements, staff Sandra T. (DOH 12/27/23) subjected children to physical/emotional harm, humiliation and/or threats in the following ways: - Taking CH2 from preschool classroom into a toddler classroom as punishment, by picking up the child by the armpits and dumping them down on the floor. - Threatened a child to take away their Valentine's day celebration. - Yelled and threatened a toddler class by saying she would put "sad faces" by their names if they did not behave. Correction: Children must not be subjected to physical or emotional harm, humiliation, or threats. Corrected at time of visit, Sandra T.'s employment terminated as of 3/12/24. Staff member was not present in program at time of inspection on 3/13/24. Respond with plan for ongoing compliance by 3/20/24. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: ratio. Marked corrected in the state record.

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Reviewed 14 staff files and observed Daisy A's file (DOH 10/5/20) to contain a Level 1 credential in PDIS. Identified through director Shelley's statement that Daisy is being utilized in an ECT capacity. Correction: An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must meet at least one required ECT qualification. Corrected at time of visit, Daisy was removed as functioning in ECT capacity on 3/13/24. Respond with a plan for ongoing compliance by 3/20/24. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: supervision. Marked corrected in the state record.

2.210.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

Reviewed 14 staff files and observed Sandra T and Cierra M.'s files to be missing verification of qualifications. Identified through Director Shelley's statement, a PDIS credential application has not been submitted for either staff. Correction: Obtain verification of qualifications for both Sandra T. and Cierra M. Correct immediately and respond with verification of compliance by 3/20/24. Correct by 03/13/2024 ________________________________________________

Corrected Corrected by Mar 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 14 staff files and observed Erica C's file to be missing current FBI clearance letter (expired on 8/1/23). Correction: Every five years, requests for FBI criminal records checks must be renewed. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Erica C has reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letter for staff member Erica C. with written response to Specialist by 3/20/24. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: background checks. 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 14 staff files and observed Andrea H's (DOH 11/15/23) file to be missing documentation of TRAILS clearance letter. Identified through Director Shelley's statement that a background request form has not been sent. Correction: Immediately ensure that all individuals with incomplete background checks are supervised at all times by an individual with successfully completed background checks. Provide a written statement of compliance within the overall

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.