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.

Reviewed 2 child medications. Observed CH1's over-the-counter medication to be lacking a first and last name. Correction: All medications must be labeled with the child's first and last name. **Corrected at time of visit, Director Dani wrote the child's last name on the container on 7/14/25.** No response is required. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

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

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

In Room 103, observed teacher scissors in an unsecured drawer next to the sink, accessible to children and posing a potential safety hazard. Correction: Keep all sharp items inaccessible to children at all times. **Corrected at time of visit, Director Dani removed the scissors on 7/14/25.** No response is required. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

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

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

In Room 103, observed a box of sunscreen on a high shelf lacking child's first and last name on the individual bottles of sunscreen. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Keep all sunscreens labeled with child's first and last name. Correct immediately and respond with verification of compliance by 7/21/2025. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

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 Room 103, staff member stated there were 9 children in attendance, however, only 8 children were signed in. Correction: The time a child arrives and leaves the center each day must be recorded. **Corrected at time of visit, Director Dani signed the child in on 7/14/25.** No response is required. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

In the Boy's and Girl's bathroom, observed baby wipes labeled "keep out of reach of children" on a low shelf next to the diaper changing table. These wipes were accessible to children, posing a potential safety hazard. Correction: Keep all items labeled "keep out of reach of children" inaccessible to children at all times. **Corrected at time of visit, Director Dani removed the wipes.** No response is required. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ amount of time taken to evacuate.

Reviewed the facility's emergency drill log. Observed the drill log to be lacking quarterly lockdown drills for 2024 and 2025; and lacking tornado drill from October 2024, March 2025 and April 2025. Correction: Fire drills must be completed monthly, tornado drills must be completed monthly from March-October and quarterly drills must be completed every 3 months. Correct immediately and respond with verification of compliance by 7/21/2025. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

Category: recordkeeping. Marked corrected in the state record.

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

In Room 104, observed a personal bag in an unsecured cabinet, accessible to children and posing a potential safety hazard. Correction: Keep all personal bags inaccessible to children at all times. **Corrected at time of visit, Director Dani locked the cabinet on 7/14/25.** No response is required. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

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

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

In Room 104, observed a power strip lacking protective covers on a low shelf, accessible to children and posing a potential safety hazard. Correction: Keep all electrical outlets that are accessible to children, protected with a cover. **Corrected at time of visit, teacher moved the power strip behind the shelf, making it inaccessible to children on 7/14/25.** No response is required. Correct by 07/14/2025

Corrected Corrected by Jul 14, 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.

On the playground, observed a broken dust pan on the ground. In Room 101, a cord longer than 18 inches was on the shelf under the window. In Room 104, several cords longer than 18 inches were on a low shelf. These items were accessible to children and pose a potential safety hazard. Correction: Keep all indoor and outdoor equipment, materials and furnishings safe, sturdy and free of hazards. **Corrected

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Reviewed 15 staff files. Observed Nadine D. (DOH 11/10/22) and Elise M.'s files (DOH 6/5/23) to be lacking a current TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Nadine D. and Elise M. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff members Nadine D. and Elise M. with written response to the Specialist by 7/21/2025. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

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

2.120.C.2 · 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: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Reviewed 15 staff files. Observed Emma H.'s file (DOH 6/12/25) to be lacking documentation of a TRAILS submission. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Emma H. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff member Emma H. with written response to the Specialist by 7/21/2025. Correct by 07/14/2025

Corrected Corrected by Jul 14, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 17 staff files and observed ECT Steven and Rebecca's file to be missing current documentation of Department-approved standard precautions training. Correction: Obtain current documentation of Department-approved standard precautions training for Steven and Rebecca. Correct immediately and respond with verification of compliance by 9/10/24 Correct by 09/03/2024

Corrected Corrected by Sep 3, 2024

Category: recordkeeping. Marked corrected in the state record.

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

During walk through observed staff Katie working in a classroom with children under 3 years old. Reviewed 17 staff files and observed staff Katie M's file to be missing current documentation of Department-approved shaken baby/abusive head trauma training. Correction: Obtain current documentation of Department-approved shaken baby/abusive head trauma training for Katie M. Correct immediately and respond with verification of compliance by 9/10/24 Correct by 09/03/2024

Corrected Corrected by Sep 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed 17 staff files and observed staff Steven's file (DOH 8/12/19) to be missing current documentation of Department-approved child abuse prevention training. Correction: Obtain current documentation of Department-approved child abuse prevention training for Steven. Correct immediately and respond with verification of compliance by 9/10/24 Correct by 09/03/2024

Corrected Corrected by Sep 3, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.72.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

During outside walk through observed the resilient surface on the playground to have a depth of less than six inches. Correction: Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six inches. Correct immediately and respond with statement of compliance by 11/5/23. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

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

7.702.71.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

During walk through observed multiple thumb tacks in the wall of the toddler hallway accessible to children, posing a potential choking hazard. Correction: Thumb tacks must not be used in areas accessible to children less than 3 years old. Correct immediately and respond with statement of compliance. **Corrected at time of visit. At time of inspection, staff put tape over each tack making them inaccessible to children.** No response required Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

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

7.702.41.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing childcare centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Reviewed 20 staff files and observed all staff to be missing documentation of a signed statement indicicating FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ that they have read and understand the licensing rules. Correction: Obtain documentation of a signed statement indicicating that they have read and understand the licensing rules for all staff. Correct and respond with a statement of compliance by 11/5/23. Correct by 11/05/2023

Corrected Corrected by Nov 5, 2023

Marked corrected in the state record.

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

Reviewed 20 staff files and observed Lead Teacher Francie's file (DOH 8/29/20) to be missing documentation of completed Department-approved Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: Obtain Department-approved Introduction to the Early Intervention and Preschool Special Education Programs training for Francie. Correct and respond with verification of compliance by 11/5/23. Correct by 11/05/2023

Corrected Corrected by Nov 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 20 staff files and observed Aide Molly's file (DOH 12/12/22) to be missing documentation of completion of the First Aid and CPR Module training for those staff not required to be certified in First Aid and CPR training. Correction: All staff not required by ratio to be certified in First Aid and CPR must complete the Department-approved basic First Aid and CPR module within 30 days of date of hire and biannually thereafter. Correct immediately and respond with

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.D · Staff working with children less than three (3) years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

During walk through Mina, Molly, Francie and Steven were observed to be working in classrooms with children under 3 years old. Reviewed 20 staff files and observed Mina, Molly, Francie, and Steven to be missing documentation of completion of Department-approved Prevention of Shaken Baby/Abusive Head Trauma training. Correction: Obtain documentation of completion of Department-approved Prevention of Shaken Baby/Abusive Head Trauma training for all staff prior to working with children under 3 years old and biannually thereafter. Correct immediately and respond with verification of compliance by 11/5/23 Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.32.D.1.a · . For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 20 staff files and observed Aides Molly and Dora's files to be missing TRAILS clearance letter. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Aides Molly and Dora have reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of TRAILS clearance letter with written response to Specialist by 11/5/23. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: supervision. Marked corrected in the state record.

7.701.33.J.1.a.b.c · 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ individual unsupervised access to children in child care centers (less than 24-hour care), school-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 20 staff files and observed Aide Molly's file (DOH 12/22/22) to be missing Out-of-State clearance letter/checklist. Correction: All individuals requiring a background check must review 'Navigating the Background Check', the Investigation Unit's (BIU) Webpage powerpoint on the CDEC website. Submit verification (via email) that Aide Molly has reviewed the powerpoint within 24 hours. Correct immediately and submit documentation of Out-of-State clearance letter/checklist for Molly with written response to Specialist by 11/5/23. Correct by 10/05/2023

Corrected Corrected by Oct 5, 2023

Category: supervision. Marked corrected in the state record.