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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ amount of time taken to evacuate.

Reviewed the emergency drills and there were no drills completed for the month of March. The facility was lacking a Fire drill for the month of April. The facility was lacking quarterly lockdown and active shooter drills. Correction: 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. Correct immedaitely and respond with a plan for ongoing by 5/21/2026. Correct by 05/14/2026

Corrected Corrected by May 14, 2026

Category: recordkeeping. Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

Confirmed through staff members statements and the review of attendance sheets Infant 1, Toddler 3, Preschool, and the Brook classroom have all been out of ratio in the months of March and April. This is a direct violation of stipulation C. Licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom. Correction: All classrooms must follow the staff to child ratio at all times. Correct and respond witha plan for ongoing compliace by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: ratio. Marked corrected in the state record.

2.217.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.

Confirmed through staff members' statements and confirmed through the name to face sheets Infant 1, toddler 3, and the Preschool classrooms have exceeded the max groups size on several days throughout the months of March and April. Correction: The facility must follow the max group size at all times. Correct immediately and respond with a plan of ongoing compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: ratio. Marked corrected in the state record.

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

Confirmed through staff members' statements and confirmed through review of the name to face sheets the Infant 1, Toddler 3, Preschool were all to be exceeding the licensed capacity of classrooms on several days throughout the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ months of March and April. Correction: The licensed room capacity must not be exceeded at any time. Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Marked corrected in the state record.

2.217.A.2 · For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2) present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty.

Confirmed through staff members' statements and the review of the name to face sheets the facility combines at the end of the day in the Brooks classroom with over 9 children ages 1 to 5 years old. Correction: For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2)present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty. Correct and respond with a plan of ongoing compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Marked corrected in the state record.

2.224.A.1 · All meals and snacks provided by the center must meet current United States Department of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Agriculture (USDA), Child and Adult Care Food Program (CACFP) meal pattern guidance and requirements published by the USDA Food Nutrition Service at https://www.cacfp.org/meal-pattern-guidance/ (April 2016) and 7 C.F.R. sections 210.10 and 226.20 (July 1, 2022), herein incorporated by reference. No later editions or amendments are incorporated These regulations are available at no cost from the USDA Food Nutrition Service 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. and be offered at suitable intervals not more than three (3) hours apart. Children who are at the center for more than four (4) hours, day or evening, must be offered a meal. Arrangements must be made for feeding children who are in care before 6 a.m. or after 6 p.m.

Confirmed through staff members' statements the facility did not have enough food the week of 4/13/2026. The facility was not following Child and Adult Care Food Program (CACFP) meal pattern requirements as they were lacking required food components. Correction: All meals and snacks provided by the center must meet current United States Department of Agriculture (USDA). Meals be offered at suitable intervals not more than three (3) hours apart. Children who are at the center for more than four (4) hours, day or evening, must be offered a meal. Arrangements must be made for feeding children who are in care before 6 a.m. or after 6 p.m.Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: nutrition. Marked corrected in the state record.

2.224.A.10 · Meal menus must be planned at least one week in advance, dated, and posted in a place visible to parents. After use, menus must be filed and retained for three (3) months.

Confirmed through the staff members' statements the cook has not been preparing or posting planned menus as required by rule. Correction: Meal menus must be planned at least one week in advance, dated, and posted in a place visible to parents. After use, menus must be filed and retained for three (3) months. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Marked corrected in the state record.

2.113.A · Violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the Department or to any agency lawfully delegated by the Department to make an investigation or inspection may result in fines assessed of not more than $250 a day the first day, $500 for the second day, and $1,000 a day for the third and subsequent days, to a maximum of $10,000:

Confirmed through the staff members' statements, the director has requested that staff members the write in false information on the name to face sheets to ensure that it does not appear the rooms are over ratio. At the time of the visit licensing specialist reviewed several name to face sheets and found that times were being changed on the name to face sheets. Correction: Violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the Department or to any agency lawfully delegated by the Department to make an investigation or inspection may result in fines assessed of not more than $250 a day the first day, $500 for the second day, and $1,000 a day for the third and subsequent days, to a maximum of $10,000: Correct immediately and respond with a written plan of ongoing compliance by 4/27/2026. Correct by 04/20/2026 ________________________________________________ ________________________________________________

Corrected Corrected by Apr 20, 2026

Category: ratio. Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

Licensing Specialist observed a staff member in the Twos 2 classroom use inappropriate guidance by yelling at a child to go sit down. Correction: Guidance used at the center must be appropriate to the child. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/27/2026

Corrected Corrected by Apr 27, 2026

Marked corrected in the state record.

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

Licensing Specialist observed a staff member threatening a child. The staff member told the child go sit FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ down, or your going to get a pop pop. Now I have to delay lunch because your playing in milk are you serious right now, you did that on purpose. Why are you back over here, that's not funny. Correction: Children must not be subjected to physical or emotional harm, humiliation, or threats. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Marked corrected in the state record.

2.216.B.1.a · The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications:

Reviewed staff files and the facility did not have a staff member who meets quailifactions to be a infant program supervisor. This is a direct violation of stipulation J. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times. Correction: The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications. Correct immedaitely and respond with a plan of ongoing complaince by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: supervision. 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 report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ annually.

Reviewed 8 staff files and staff member 4 was lacking a current Child Abuse Prevention training. This is a direct violation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: All staff member must complete a Child Abuse Prevention training and renew annually. Correct immediately and respond with a verification of compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: ratio. Marked corrected in the state record.

2.216.B.1.d · The infant program staff aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an infant early childhood teacher.

Reviewed 8 staff files and staff member 3 was working in the Infant 1 classroom and was lacking an 8 hour infant orientation. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: 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. Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: supervision. Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ extinguishers and fire alarms

Reviewed 8 staff files and staff member 1 was lacking a training in fire safety and the use of fire extinguishers and fire alarms. This is a direct violation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms. Correct immediately and respond with a plan of ongoing compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: ratio. Marked corrected in the state record.

2.213.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 8 staff files and staff member 1 was lacking a pre-service building and physical premises safety training. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: All staff must complete a Pre-Service Building and Physical Premises Safety training prior to working with children. Correct immediately and respond with verification of compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Category: ratio. Marked corrected in the state record.

2.217.A.15.e · Toddler-age groups of children must be separated from each other by permanent or portable dividers or other methods as approved by the Department.

Confirmed through review of the attendance sheet there were on 3/24/2026 there were 14 preschool age children and 7 toddler children all interacting in the Brook classroom. Correction: Toddler-age groups of children must be separated from each other by permanent or portable dividers or other methods as approved by the Department. Correct immediately and respond with a plan for ongoing compliance by 4/27/2026. Correct by 04/20/2026

Corrected Corrected by Apr 20, 2026

Marked corrected in the state record.

2.220.L · A written medication log must be kept for each child. This log is part of the child's records. The log must contain the following:

Confirmed through a staff member's statement Ch1 did not get their medication all week for the week of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 3/9/2026. Licensing Specialist reviewed two medication logs and both were missing dates of daily medication given. Correction: A written medication log must be kept for each child. This log is part of the child’s records. Correct immediately and respond with a plan for ongoing by 4/28/2026. Correct by 04/14/2026 ________________________________________________

Corrected Corrected by Apr 14, 2026

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

2.213.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 4 staff files and staff member 3 was acting as the assistant director and was lacking the Working with an Early Childhood Mental Health Consultant. The assistant director has been in this position for over 90 days. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once (1 time) and will be counted towards ongoing training requirements. Correct and respond with verification of compliance by 4/28/2026. Correct by 04/14/2026

Corrected Corrected by Apr 14, 2026

Category: ratio. Marked corrected in the state record.

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

At the time of the visit there were 2 children asleep on cots that were less than 2 feet apart in the Preschool classroom. Correction: Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards. ***Corrected at the time of the visit the staff moved the cots 2 feet apart on 4/14/2026. Respond with a plan for ongoing complaince by 4/28/2026. Correct by 04/14/2026

Corrected Corrected by Apr 14, 2026

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.

In the Two's 2 classroom there was a long black loose cord connected to the light table posing a possible strangulation hazard. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately and respond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

Corrected Corrected by Apr 14, 2026

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

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

Confirmed through a staff member's statement a parent dropped off a child who was 3 years and a week in the Toddler 3 classroom at 8:03 AM. Licensing Specialists reviewed the attendance sheet a child listed at 3 years old was marked on the attendance sheet. This classroom is licensed for children ages 12 to 36 months. Correction: Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. This was cited on 4/2/2026. ***Corrected at the time of the visit the director moved the child to the preschool classroom at 8:06AM on 4/14/2026.***Repond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

Corrected Corrected by Apr 14, 2026

Marked corrected in the state record.

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Confirmed through staff members' statements Ch1 was not given their medication due to staff member not being able to identify the correct medication delegation paperwork that was located in the Nurse binder. This is a director violation of stipulation N. All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Correct immediately and respond with a plan for ongoing compliance by 4/28/2026. Correct by 04/14/2026

Corrected Corrected by Apr 14, 2026

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

2.124.A.1.d · 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: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through staff members' statements the facility failed to report several reportable incidents. This is a direct violation of stipulation of U. Within 24 hours of the occurrence of a critical incident at the facility as defined in 8 CCR 1402-1 General Rules for Child Care Facilities section 2.124, the Licensee shall report the incident in writing to the Department via the online reporting system at https://coloradoshinesportal.force.com/providerhub/s/login/. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all incidents are reported within required time frame. Submit verification of compliance with written response by 4/28/2026. Correct by 04/28/2026

Corrected Corrected by Apr 28, 2026

Category: ratio. Marked corrected in the state record.

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 staff files and staff member 2 was lacking a health statement signed and dated from a health care provider. Staff member number 2 has been working longer than 30 days (DOH 3/1/2026). Correction: All staff members must have a health statement within the first 30 days of employment. Correct and respond with verification of compliance by 5/2/2026. Correct by 05/02/2026

Corrected Corrected by May 2, 2026

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

2.217.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.

At the time of the visit the attendance sheets were reviewed. On the attendance sheet for the Toddler 3 classroom there were 14 children in the classroom ages 1 to 3 years old from 8:45 to 8:47AM. The Toddler 3 classroom was over the max group size by 4 children. This is a direct violations of stipulation C. Licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom. Correction: The facility must follow the maximum group size for children by ages. ***Corrected at the time of the visit the staff moved all the older children into the Two's Two classroom on 4/2/2026.***Respond with a plan for ongoing compliance by 5/2/2026. Correct by 04/02/2026

Corrected Corrected by Apr 2, 2026

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 hazards by removal of debris, dilapidated structures, and broken or worn play equipment to reduce the possibility of injuries and accidents.

Outside on the preschool playground there was a large carpet folded up and sitting on the side walk. The folded up carpet was posing a possible tripping hazard. Outside on the preschool playground there was trash all throughout the playground. Correction: All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazards by removal of debris, dilapidated structures, and broken or worn play equipment to reduce the possibility of injuries and accidents. Correct immediately and respond with a plan for ongoing compliance by 5/2/2026. Correct by 04/02/2026

Corrected Corrected by Apr 2, 2026

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

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

In the Two's Two classroom the license age is 12 to 36 months. There was one child in the classroom who FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ was over the age of 3 by 11 days. Correction: Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. ***Corrected at the time of the visit the acting director had the child move up to the Preschool classroom on 4/2/2026.***Respond with a plan for ongoing compliance by 5/2/2026. Correct by 04/02/2026

Corrected Corrected by Apr 2, 2026

Marked corrected in the state record.

2.221.B · The center must apply sunscreen, have the parent(s)/guardian(s) apply sunscreen, or use another form of parent/guardian approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label.

At the time of the visit the preschool classroom was going outside and did not apply sunscreen before going outside. Correction: The center must apply sunscreen, have the parent(s)/guardian(s) apply sunscreen, or use another form of parent/guardian approved sun protection for children prior to children going outside. Sunscreen must be reapplied as directed by the product label. Correct immediately and respond with a plan for ongoing compliance by 5/2/2026. Correct by 04/02/2026

Corrected Corrected by Apr 2, 2026

Marked corrected in the state record.

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

Outside on the sidewalk leading to the preschool playground there were 3 large wooden slates. The 3 large wooden slates were posing a possible tripping hazard. Correction: Indoor and outdoor equipment, materials, and furnishings including 3 large wooden slates. the must be sturdy, safe, and free of hazards. ***Corrected at the time of the visit a staff member removed all the wooden slates from the playground on 3/9/2026.***Respond with a plan for ongoing compliance by 3/16/2026.*** Correct by 03/09/2026

Corrected Corrected by Mar 9, 2026

Category: physical safety. 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.

Outside on the Preschool playground there was trash and other debris throughout the playground. Correction: All outdoor areas used for children's activites must be checked daily and kept safe and free from hazardous material or debris by removal of debris. ***Corrected at the time of the visit the director picked up the trash from the Preschool playground on 2/10/2026.*** Respond with a plan for on going compliance by 2/17/2026. Correct by 02/10/2026

Corrected Corrected by Feb 10, 2026

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.

In the hallway outside of the preschool classroom there were art projects that were covered in small feathers. The art projects were being displayed on a shelf that was accessible to children under the age of 3 years old. The small FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ feathers pose a possible choking hazard. This is a director violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Toys, toy parts, furnishings, equipment, and any materials including small feathers 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. ***Corrected at the time of the visit. The Director removed all the art projects and moved them up high and inaccessible to children under 3 on 2/10/2026. *** Respond with a plan for ongoing compliance by 2/17/2026. Correct by 02/10/2026

Corrected Corrected by Feb 10, 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.

In the Two 2 classroom there was an unlocked drawer accessible to children next to the sink that had a small bottle of lotion labeled "keep out of reach children." In the hallway the laundry room was unlocked and and accessible to children. There were several bottles of cleaning supplies that were labeled "keep out of reach of children." This is a direct violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Items labeled "keep out of reach of children" including all lotion and cleaning supplies must be inaccessible to children. ***Corrected at the time of the visit the staff members disposed of small bottle of lotion and locked the laundry room making all items inaccessible to children on 1/15/2026.***Respond with a plan of ongoing compliance by 1/22/2026.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

In the Two 2 classroom there was an unlocked drawer accessible to children next to the sink that contained a long purple charging cord. The long purple cord was posing a possible stragulation hazard. In the Pre-K classroom there was a long white charging cord sitting on the counter top accessible to children. The white charging cord was posing a possible stragulation hazard. This is a direct violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Indoor and outdoor equipment, materials, and furnishings including charging cords must be sturdy, safe, and free of hazards. ***Corrected at the time of the visit the director moved the cords and placed them up high and inaccessible to children on 1/15/2026.***Respond with a plan for ongoing compliance by 1/22/2026. Correct by 01/15/2026

Corrected Corrected by Jan 15, 2026

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

2.223.C.4 · Toys, including mobiles and other types of play equipment that are designed to be attached to any part of sleeping equipment, must be kept away from sleeping infants and out of sleep environments, including hanging toys. Blankets and other items must not be hung from or draped over the sides or any part of sleeping equipment.

In the EPS classroom there were several small items including rubber bands, foam bugs, and a green pom pom located in an unlocked drawer accessible to children under the age of 3 years old. All items listed above were posing a possible choking hazard. Correction: 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. ***Corrected at the time of the visit a staff member removed all items listed above and placed all items up high making all items inaccessible to children under the age of 3 years old on 12/1/1025.*** Respond with a plan for ongoing compliance by 12/8/2025. Correct by 12/01/2025

Corrected Corrected by Dec 1, 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 EPS classroom there was a loose long charging cord over 18 inches long sitting on top of the counter FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ accessible to children. The loose long cord was posing a strangulation hazard. Correction: Indoor and outdoor equipment, materials, and furnishings including long cords must be sturdy, safe, and free of hazards. ***Corrected at the time of the visit a staff member removed the loose long cord from the counter making it inaccessible to children on 12/1/2025.***Response with a plan of ongoing compliance by 12/8/2025. Correct by 12/01/2025

Corrected Corrected by Dec 1, 2025

Category: physical safety. 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.

In the Two 2 classroom staff member # 3 was acting as the assigned qualified early childhood teacher. A staff file review was completed and it was identified that staff member 3 was not a qualified early childhood teacher. Correction: 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. ***Corrected at the time of the visit the director placed a qualified early childhood teacher in the classroom on 10/9/2025.*** Respond with plan of ongoing compliance by 11/8/2025. Correct by 10/09/2025

Corrected Corrected by Oct 9, 2025

Category: supervision. Marked corrected in the state record.

2.216.B.1.d · The infant program staff aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an infant early childhood teacher.

Staff member 1 was observed working in the infant classroom. A staff file review was completed and it was identified that staff member #1 was lacking 8 hours of orientation. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: The infant program staff aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an infant early childhood teacher. ***Correct immediately and respond with a plan of ongoing compliance by 11/8/2025. Correct by 10/09/2025

Corrected Corrected by Oct 9, 2025

Category: supervision. Marked corrected in the state record.

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 4 new staff files and staff member #3(DOH 8/4/2025) and staff member #4(DOH 8/18/2025) were lacking a health statement signed and dated by a health care provider within the first 30 days of employment. Correction: All staff members must have a health statement signed and dated from a health care provider within the first 30 days of employment. Correct and respond with verification of complaince by 11/8/2025. Correct by 11/08/2025

Corrected Corrected by Nov 8, 2025

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

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ submitted annually.

Reviewed 17 staff files and staff member #2,#6,#7,#12,#14 were lacking health statement or a Subsequent self-report health history. Correction: The facility must obtain a health statement signed and dated by a medical professional within 30 days after the first date of employment. A Subsequent self-report health history must be submitted annually. Correct and respond with verification of compliance by 10/15/2025. Correct by 10/15/2025

Corrected Corrected by Oct 15, 2025

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

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Reviewed 6 children's file and 1 child less than 2 was lacking a current health statement. Correction: Review and ensure that all children under the age of 2 must have current health statement that is in accordance with AAP schedule. Correct and respond with a plan of ongoing compliance by 10/15/2025. Correct by 10/15/2025

Corrected Corrected by Oct 15, 2025

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 17 staff files and staff member #4 and #14 were lacking a current Department-approved Standard Precautions training. This is a direct violation of stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: The facility must ensure all staff members must complete a Department-approved Standard Precautions training. This training must be renewed annually. Correct immediately and respond with verification of compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: ratio. 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.

Reviewed 17 staff files and staff member #1,#4, and #14 were all lacking a current Department- approved safe sleep training. This is a direct violation of stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: 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. Correct immediately and respond with plan of on going compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 17 staff files and staff member #2 and #14 were lacking a current Department-approved shaken baby training. This is a direct stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: 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. Correct and respond with a plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: ratio. 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 17 staff files and staff member #6 was lacking both a Full CPR and First Aid certification and a CPR and First Aid module and has been working at the facility for longer than 30 days. This is a direct stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: 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. Correct and respond with verification of compliiance by 10/15/2025. Correct by 10/15/2025

Corrected Corrected by Oct 15, 2025

Category: ratio. 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 17 staff files and staff member #4,#10, #14 were lacking a current Department approved Child Abuse Prevention training. This is a direct stipulation of K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: 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. Correct and respond with a plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

Reviewed the attendance sheet for the Twos 2 classroom and there were 8 children ages 2 to 3 with 1 staff member at 8 AM on 9/15/2025. This is a direct violation of stipulation C. Licensee shall comply with required staff-to-child ratios at all times. Ratios and room capacities must be posted in each classroom. Correction: The facility must maintain staff to child ratio by ages of children. ***Corrected at the time of the visit identified through a staff member's statement a second staff member came in as soon as the 8th child arrived but did not sign into the classroom on 9/17/2025. ***Respond with a plan of plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 6 children's files and 1 child was lacking documentation of immunizations. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Reviewed 6 children's file and 1 child had immunizations listed on an unapproved form. Correction: Review and ensure that all children have documentation of immunizations and on an approved form from CDPHE. The immunization record must me provided prior to or on the first day of admission. Correct immediately and respond with a plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: health medication. 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.

Reviewed the facility's emergency drill log and the facility is lacking several fire, tornado, and lockdown and active shooter. Correction: Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 6 children's file and 1 child over the age of 2 was lacking a current health statement. Correction: Review and ensure that all children over the age of 2 must have current health statement that is in accordance with AAP schedule. Correct and respond with a plan of ongoing compliance by 10/15/2025. Correct by 10/15/2025

Corrected Corrected by Oct 15, 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.

In the unlocked staff lounge under the sink in unlocked cabinet there was a large bottle of bleach. The bleach was labeled "keep out of reach of children" and accessible to children. This is a direct violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Items labeled “keep out of reach of children” including bleach must be inaccessible to children. ***Corrected at the time of the visit the director placed the large bottle of bleach up high and inaccessible to children on 9/17/2025.*** Respond with a plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: physical safety. 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.

Outside on the toddler playground there were a few weeds that had sharp edges that were posing a possible safety hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Outside on the preschool playground there was a large whole next to the playground structure that was posing a possible tripping hazard. Outside on the preschool playground there was broken and worn play equipment (deflated ball, broken stepping toy, and a broken black paddle.) posing a possible safety hazard. Correction: 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. Correct immediately and respond with a plan of ongoing compliance 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

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

2.120.C.1 · 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:

Reviewed 17 staff files and staff member # 15 was lacking a Trails clearance letter. This is a direct violation of stipulation L. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks 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 #15 has reviewed the powerpoint within 24 hours.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 17 staff files and staff member # 15 was lacking a FBI clearance letter. This is a direct violation of stipulation L. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks 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 #15 has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter for staff member #15 with written response to the Specialist by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Category: supervision. 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.

Identified through the director's statement staff member # 17 was given 10 minute breaks for qualified early childhood teachers. Indentified through a staff file review staff member #17 was not a qualified early childhood teacher. This is a direct violation of stipulation J. All staff, including substitutes, shall be qualified for the positions to which they are assigned. This includes both education and experience qualifications. Verification of staff qualifications must be available for review at all times. Correction: 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. On 9/15/2025 licensing specialist did not witness this staff member acting as the qualified early childhood teacher. ***Corrected at the

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

In the infant 1 classroom there was one crib sheet that was very loose and did not properly fit a crib mattress. At the time of the visit there was no infant in the crib. Correction: Mattresses for cribs and futons must have a properly fitted, clean sheet. ***Corrected at the time of the visit the director replaced the crib sheet on 9/15/2025.*** Respond with a plan of ongoing compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

Marked corrected in the state record.

2.122.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.

The facility was lacking a copy of the Denver fire inspection. Correction: 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 (CDPHE) 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. Correct immediately respond with verification of compliance by 10/15/2025. Correct by 09/15/2025

Corrected Corrected by Sep 15, 2025

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

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the infant classroom there were 7 signed in on the attendance sheet and there were 8 children total. The 8th child was outside of the room being feed and the transition was not listed on the attendance sheet. In the preschool classroom there were 19 children present and only 17 children signed in on the Ipad. This is a direct violation of stipulation F. Licensee will use a name-to-face attendance verification tool (paper or electronic form) and complete attendance verification for all transitions and at frequent intervals throughout the day. Licensee shall provide training for all staff on how to use the attendance verification tool and must maintain verification of the training in each employee’s staff file. Correction: The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions. ***Corrected at the time of the

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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

In the Preschool classroom there was a loose plastic trash bag sitting on the counter top near the hand washing sink. The loose plastic trash bag was accessible to children and posing a possible stangulation hazard. Correction: Loose plastic bags must be stored in areas inaccessible to children. ***Corrected at the time of the visit the teacher removed the loose plastic bag from the counter top making it inaccessible to children on 8/4/2025.***Respond with a plan of ongoing compliance by 8/11/2025. Correct by 08/04/2025

Corrected Corrected by Aug 4, 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.

In EP 1 classroom there were small bugs in the water table that were posing a choking hazard for children under the age of 3 years old. This is a direct violation of stipulation M. Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: 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. ***Corrected at the timd of the visit the teacher removed all small bugs from the water table on 8/4/2025.***Respond with a plan of ongoing complaince by 8/11/2025. Correct by 08/04/2025

Corrected Corrected by Aug 4, 2025

Category: physical safety. 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.

Outside on the school age playground there was trash and debris all over the playground area posing a possible safety hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: 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. Correct and respond with verification of compliance by 8/11/2024. Correct by 08/04/2025

Corrected Corrected by Aug 4, 2025

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

2.218.C.5.a · 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, parent(s)/guardian(s) and must include, but not be limited to, the following: Medication and dosing schedule;

Reviewed 3 health care plans for 3 children and 1 child's health care plan listed 3 required medications. The facility was lacking 1 required medication listed on the child's health care plan. Correction: Review all health care plans and ensure the facility must have all required mediation listed on the health care plan. Correct immediately and respond with a plan of ongoing compliance by 8/11/2025. Correct by 08/04/2025

Corrected Corrected by Aug 4, 2025

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

2.121.D.4 · Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

Observed three staff members Aisha R, Sabria, R., and Yanitsa I. working in classrooms. Identified through a staff file review all 3 staff members Aisha R. (DOH 5/5/2025) Sabria R. (5/12/2025), and Yanitsa I. (DOH 4/20/2025) were lacking a request for criminal record checks (CBI and FBI) and have been working for longer than 5 days. This is a direct violation of Stipulation L. Licensee shall timely submit fingerprint-based background checks, Trails abuse/neglect background inquiry request, and complete out-of-state background check process for any new hire. Documentation of the background checks 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 members Aisha R, Sabria, R., and Yanitsa I. have reviewed the

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 the Acting Director Virgina D's (DOH 11/22/2024)file and she was lacking a current Child Abuse Prevention training. This is a direct violation of Stipulation K. Staff members must complete any training required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule. This may include, but may not be limited to: training and orientation in facility policies and procedures, standard precautions, CPR and first aid, safe sleep, shaken baby/abusive head trauma prevention and medication administration. Verification of completed training must be available for review at all times. Correction: All staff members must complete a Child Abuse Prevention training and renew annually. Correct and respond with a plan of ongoing compliance by 7/16/2025. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Category: ratio. 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.

Observed the Twos classroom outside with Korin M. acting as the qualified early childhood teacher. Obseved the Toddler 3 classroom and Monique S was acting as the qualified early childhood teacher. After a file review for both Korin M and Monique S. it was idenified both staff members Korin M and Monique S. are not qualified early childhood teachers. This is a direct violation of stipulation D. All children must be under the direct and active supervision of qualified staff at all times, both indoors and outside. Correction: 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. ***Corrected at

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.206.B.4 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure regarding inclement and excessively hot weather;

Identified through a staff members statement the policy is children go outside for 15 minutes when its 90 degrees and children do not go out if it is 95 degrees and higher. Licensing Specialist observed two classrooms playing outside and it was 95 degrees outside at the time of the visit. Correction: The facility must follow the center's procedure regarding excessively hot weather. ***Corrected at the time of the visit the facility had the children come inside.*** Respond with a plan of ongoing compliance by 7/16/2025. Correct by 07/09/2025

Corrected Corrected by Jul 9, 2025

Marked corrected in the state record.

2.122.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.

The facility did not have the health and fire inspections available for review at the time of the visit. Correction: The facility must obtain an approving Fire and Health inspection. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist. Correct immediately and respond with verification of compliance by 4/2/2025. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: health medication. 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 Toddler 3 classroom there was a rubber door strip on the bottom of the door that was lifting up from the tile floor in the restroom that was posing a tripping hazard. Correction: Indoor and outdoor equipment, materials, and furnishings including the rubber door strip must be sturdy, safe and free of hazard. Correct immediately and respond with verification of compliance by 3/12/2025. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

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

2.216.C.2 · Staff aides must be at least sixteen (16) years of age, must work directly under the supervision of the director or a toddler early childhood teacher, and must have completed eight (8) hours of orientation at the toddler program. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 1 staff file and 1 staff member Jessica S. who was acting as a staff aide in Toddler 3 was lacking a 8 hour toddler orientation. Correction: Staff aides must be 16 years old, must work directly under the supervision id the director or a toddler early childhood teacher, and must have completed an 8 hour toddler orientation. Correct immediately and respond with verification of compliance by 3/12/2025. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Category: supervision. Marked corrected in the state record.

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

In the infant 1 classroom there were two loose crib sheets that did not properly fit on the mattresses. In the infant 3 classroom there was 1 loose crib sheet that did not properly fit on the mattress. There were no infants in the cribs at the time of the visit. Correction: Mattresses for cribs and futons must have a properly fitted, clean sheet. Correct immediately and respond with verification of compliance by 3/12/2025. Correct by 03/05/2025

Corrected Corrected by Mar 5, 2025

Marked corrected in the state record.

2.223.D.4.c · A fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child.

In the Toddler 3 classroom there was 1 child missing a sheet on thier cot. In the Preschool classroom there was 1 child with no sheet on their cot. In the Pre-K classroom there were 3 children without sheets on their cots. Correction: A fitted sheet and a blanket, or siutable covering, must be provided for each child to used only by that child. ***Corrected at the time of the visit the staff members were placed sheets on all the cots on 2/13/2025.***Respond with a plan of ongoing complaince by 2/20/2025. Correct by 02/13/2025

Corrected Corrected by Feb 13, 2025

Marked corrected in the state record.

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ other hazardous items must not be stored in any area of the building used for childcare.

In the Preschool classroom there was a staff member's backpack sitting on the back of the sink accessible to children posing a possible safety hazard. Correction: Volatile substances and other hazardous items including staff member's backpack must be stored inaccessible to children. ***Corrected at the time of the visit the staff member placed the backpack up high making it inaccessible to children.***Respond with a plan of ongoing complaince by 2/20/2025. Correct by 02/13/2025

Corrected Corrected by Feb 13, 2025

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

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the infant 2 classroom there were 7 children present and 1 child was not signed in on the attendance sheet. Correction: The time a child arrives and leaves the center each day must be recored. Staff members must complete a written attendance verification periodically throughout the day, including during transitions. ***Corrected at the time of the visit the staff member signed in the 7th child on 1/17/2025. Correct immediately and respond with an ongoing plan of compliance by 1/24/2025. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

Category: recordkeeping. Marked corrected in the state record.

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In the Twos 2 clasroom there were 5 childen who were asleep on cots and were less than 2 feet apart on all sides. Correction: Cots must be speaced at least 2 feet apart on all sides during rest time. Correct immedaitely and respond with verification of compliance by 1/24/2025. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

Category: supervision. Marked corrected in the state record.

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

There were several spots of peeling paint on the hallway wall right next to the Toddler 3 classroom door. Correction: The building must be kept in good repair and maintained in a safe condition including the hallway walls. Correct immediately and respond with verification of compliance by 1/24/2025. Correct by 01/17/2025

Corrected Corrected by Jan 17, 2025

Marked corrected in the state record.

2.224.A.8 · Children must not be given foods that are contrary to the religious beliefs of their families or that are known to cause an allergic reaction or a health hazard.

Confirmed through staff members' statements on 8/14/2024 Staff member 1 served a known allergen to Ch1 which caused an allergic reaction. Correction: Children must not be given foods that are known to cause an allergic reaction or health hazard. Correct immediately and respond with a plan of on going compliance by 10/22/2024. Correct by 10/08/2024 Stage II Licensing Concern : On 8/14/2024 Staff member 4 was not supervising children in the infant classroom. - FOUNDED

Corrected Corrected by Oct 8, 2024

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

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

Confirmed through staff members' statements Staff member 4 was laying on the ground with their hood over their head, and not supervising the infants in the infant 2 classroom on 8/14/2024. Confirmed through staff members' FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ statements Staff member 4 was asked to help roll an infant over as the infant was face down in the carpet. Staff member 4 would not help the infant and the other staff member had to help the infant roll back over. Correction: All children including the infants in the Infant 2 classroom must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise. Correct immediately and respond with a plan of on going compliance by 10/22/2024. Correct by 10/08/2024 Stage II Licensing Concern : Staff member 4 was not qualified to work in the infant classroom. - FOUNDED

Corrected Corrected by Oct 8, 2024

Category: supervision. Marked corrected in the state record.

2.211.B · Staff and children's records must be available, upon request, to authorized personnel of the Department.

Confirmed through staff members statement staff member Synique knowingly placed staff member 4 in the Infant 2 classroom knowing Staff member 4 did not have all required trainings to work in the Infant 2 classroom. Licensing Specialist could not confirm if Staff member 4 Dakeyvondrick Westbrook was qualified to work in the infant 2 classroom as Staff member 4's file was not available for review upon request. Correction: Staff records must be available, upon request to authorized personnel of the Department including a staff file for Dakeyvondrick Westbrook. Correct immediately and respond with a completed staff file for Dakeyvondrick Westbrook by 10/22/2024. Correct by 10/08/2024 Stage II Licensing Concern : Staff member 2 failed to provide Ch1 with alternative food option. - FOUNDED

Corrected Corrected by Oct 8, 2024

Category: recordkeeping. Marked corrected in the state record.

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the proper care and well-being of children.

Confirmed through staff members' statements Staff member 2 was responsible for making meals and providing children with food substitution and failed to provider Ch1 with a food substitution on 8/14/2024. Correction: All staff members at the facility must demonstrate knowledgeable decision-making including Staff Member 2 knowing each child in the facility that requires a food substitution. Correct immediately and respond with a plan for ongoing compliance by 10/22/2024. Correct by 10/08/2024 Stage II Licensing Concern : On 8/14/2024 the facility phone was not working during the incident. - FOUNDED

Corrected Corrected by Oct 8, 2024

Category: nutrition. Marked corrected in the state record.

2.207.B · The center must have a working telephone with the number available to the public. Emergency telephone numbers of the following must be posted near the telephone: a 911 notice, where 911 is available, or rescue unit if 911 isn't available; a hospital or emergency medical clinic; the local fire, police, and health departments; and Rocky Mountain Poison Control. The telephone must be available to staff at all times that the center is in operation.

Confirmed through staff members' statements the center's telephone was not working at the time of the incident that occurred on 8/14/2024. Confirmed through staff members' statements the staff had to call Ch1's parents using a staff members personal phone. Correction: The center must have a working telephone with the number available to the public. The telephone must be available to staff at all times that the center is in operation. ***Corrected at the time of the visit the telephone was working on 10/8/2024.*** Respond with a plan of on going compliance by 10/22/2024. Correct by 10/08/2024 Stage II Licensing Concern : The facility was missing allergy lists in all classrooms and kitchen. - FOUNDED

Corrected Corrected by Oct 8, 2024

Category: ratio. Marked corrected in the state record.

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

Confirmed through staff members' statements Staff member 3 verbally told a staff member what children needed a food substitute Ch1 was not listed as a child that needed a food substitute. Staff member 2 could not locate an allergy list in the kitchen to ensure all children including Ch1 got a substitute for the mac and cheese on 8/14/2024. Confirmed through staff member's statement Staff member 3 asked the staff in classroom Toddler 1 if they could review the allergy list. The staff member in Toddler 1 stated they did not have an allergy list in that classroom to confirm the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children with allergies. Correction: The staff working with children with a health care plan must be informed including posting allergy lists in the kitchen and all classrooms to ensure the staff are informed of all children who have an allergy. ***Corrected on 10/8/2024 the facility had allergy lists posted.***Respond with a plan of on going compliance by 10/22/2024. Correct by 10/08/2024 ________________________________________________ Stage II Licensing Concern : Ch1 was given an allergen on 8/12/2024 and the facility failed to report it to the county. - UNFOUNDED Stage II Licensing Concern : The facility did not have Ch1's medication that was listed in the health care plan. - UNFOUNDED Stage II Licensing Concern : The facility does not following posted menu provided to parents. - UNFOUNDED Stage II Licensing Concern : Staff are not trained on Ch1's health care plan. - UNFOUNDED ________________________________________________

Corrected Corrected by Oct 8, 2024

Category: supervision. Marked corrected in the state record.

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

Confirmed through a staff member's statement Angalissa stepped into the Infant 2 classroom to give a staff member a lunch break. Confirmed through a staff file review Angalissa and Dakeyvondrick were working in the Infant 2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ classroom together and both staff members did not hold a current Department-Approved first aid and CPR certificate for all ages of children. Correction: There must be at least 1 staff member on duty in each infant classroom at all times who holds a current Department-Approved first aid and CPR certificate for all ages of children. ***Corrected on 8/14/2024 Staff member Rosa J came back into the Infant 2 classroom and she holds a current Department-Approved first aid and CPR certificate for all ages of children.*** Respond with a plan of ongoing compliance by 10/22/2024. Correct by 10/08/2024

Corrected Corrected by Oct 8, 2024

Marked corrected in the state record.

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 4 staff files and 2 staff members Shayla and Synique did not have a health statement that was signed by a medical professional and has worked for the facility longer than 30 days. Also 1 staff member had an expired health statement and did not have a self reported health history, Correction: All staff members must complete current health statement signed by a health care professional. Submit a self-reported health history must be submitted annually. Correct and respond with verification of compliance by 10/22/2024. Correct by 10/22/2024

Corrected Corrected by Oct 22, 2024

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

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 4 staff files and 1 staff member Synique was lacking a current Department-approved Child Abuse Prevention training. Correction: Review and ensure that all staff must complete a Department-approved Child Abuse Prevention training and renew annually. Correct immediately and respond with verification of compliance by 10/22/2024. Correct by 10/08/2024

Corrected Corrected by Oct 8, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Reviewed Ch1's file and Ch1 was lacking a current health statement. Correction: Statements of health status of children less than 2 years old must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics schedule. Correct and respond with verification of compliance by 10/22/2024. Correct by 10/08/2024

Corrected Corrected by Oct 8, 2024

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

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

In the infant 1 classroom there were several tubes of diaper cream lacking children's last names. Correction: Over the counter medication including tubes of diaper cream are to be labeled with the child's first and last name. ***Corrected at the time of the visit the director wrote all the children's last names on all the tubes of diaper cream. No need for response.*** Correct by 10/08/2024

Corrected Corrected by Oct 8, 2024

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

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

In the Infant 2 classroom there was a crib mattresses with a sheet that was very loose and did not properly fit. There was no infant asleep in the crib at the time of the visit. Correction: Mattresses for cribs must have a properly fitted, clean sheet. ***Corrected at the time of the visit the teacher changed the sheet to a properly fitted sheet. No need for response.*** Correct by 10/08/2024

Corrected Corrected by Oct 8, 2024

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

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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 4 staff files and 1 staff member Shayla was lacking a Out of state background clearance letter prior to working 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 member Shayla W. has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff member Shayla W with written response to Specialist by 10/22/2024. Correct by 10/08/2024

Corrected Corrected by Oct 8, 2024

Category: supervision. 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 Pre K classroom there was a child's sunsreen that was lacking the child's last name. Correction: Review and ensure that all sunscreens supplied for an indiviual child must be labled with the child's first and last name. Correct immedaitely and respond with verification of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed the emegency drill log and the facility was lacking all drills from the month of April. Correction: Review and ensure that the facility is completing and documenting each drill that is completed and keep the last 12 months of drills available for review. Correct immedaitely and respond with verification of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

In classroom Two's 2 classroom there was a tube of Eucerin cream lacking the child's last name. Also there was a tube of diaper cream lacking a child's last name. Correction: Review and ensure that all over-the-counter medication including Eucerin and diaper creams must be labeled with the child's first and last name. Correct immedaitely and respond with verification of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

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

2.220.E · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an at least annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

Reviewed a child's medication and the medication authorization was expired 2/11/2023. Correction: Review and ensure that all medication and authoriztions must be updated at least on an annual basis. Correct immedaitely and respond with verification of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

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

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the Two's 2 classroom there were 11 children present and 12 children were signed in on the attendance sheet. In the Preschool 1 classroom there were 16 children present and only 15 children signed in on the attendance sheet. In the Pre-K classroom there were 15 children present and 17 children signed in on the attendance sheet, Correction: The facility must ensure that all times the children arrives and leave the center and the staff must complete a written attendance verification periodically through out the day including during tansitions. ***Corrected at the the time of the visit*** Respond immediately with an ongoing plan of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

Category: recordkeeping. 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 7 children's files and 3 children were lacking a current emegrency medical care authorization. Correction: Review and ensure that all children must have a current emegrency medical care authorization and update annually. Correct immedaitely and respond with verification of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

Category: health medication. 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 18 staff file and one staff member Laura N was lacking a current child abuse training. Correction: Review and ensure that all staff members must complete child abuse training and renew annually. Correct immedaitely and respond with verification of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

Category: recordkeeping. 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.

Outside on the School Age playground there was a piece of metal with sharp edges detaching from the bottom of the fence posing a safety hazard. Correction: Ensure that all outdoor areas must be kept safe including the piece of metal with sharp edges detaching from the bottom of the fence. Correct immedaitely and respond with verification of compliance by 5/14/2024. Correct by 05/07/2024

Corrected Corrected by May 7, 2024

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