2.511.C.5.a · -g The individual health care plan must be updated at least every twelve (12) months from the date FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ of the initial plan, and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider and parent(s) or guardian(s), and must include, but not be limited to, the following: a. Medication and dosing schedule; b. Nutrition and feeding instructions; c. Medical equipment or adaptive devices, including instructions; d. Medical emergency instructions; e. Toileting and personal hygiene instructions; f. Behavioral interventions; and g. Medical procedure/ intervention.

Reviewed a child's health care plan and medication. The medication was expired. Correction: 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 by the health care provider and parent(s) or guardian(s), and must include, but not be limited to, the following: medication. Correct immediately and respond with a plan for ongoing compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

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

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

At the time of the visit the facility was lacking a posting of the most recent licensing inspection or a notice as to where to locate the report. Correction: At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee. Correct immedaitely and respond with a plan for ongoing compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

Marked corrected in the state record.

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Department of Early Childhood, including the telephone number and mailing address.

At the time of the visit the facility was lacking posting of information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address. Correction: At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address. Correct immediately and respond with a plan for ongoing compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

Marked corrected in the state record.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

At the time of the visit the facility was lacking a capacity posting for the cafeteria. Correction: All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room. Correct immediately and respond with a plan for ongoing compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

Category: ratio. 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.

At the time of the visit the facility was lacking the emergency drill logs. 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.506.F · A written policy regarding visitors to the center must be posted and a record maintained daily by the center that includes, at a minimum, the date, time, the visitor's name and the purpose of the visit. At least one piece of photo identification must be inspected for individuals who are unknown to personnel at the center.

At the time of the visit the facility did not have a vistor policy posted or a visitor sign in sheet. Licensing Specialist observed a visitor from the food program to be visiting the program and was not signed in a vistor. Correction: A written policy regarding visitors to the center must be posted and a record maintained daily by the center that includes, at a minimum, the date, time, the visitor's name and the purpose of the visit. At least one piece of photo identification must be inspected for individuals who are unknown to personnel at the center. Correct immediately and

Open Not marked corrected in the state record

Category: nutrition. Open / not marked corrected.

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.

At the time of the visit the facility was lacking a fire and health 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 immedaitely and respond with a plan for ongoing compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

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

2.512.B.2 · Schools are required to comply with the immunization requirements as stated in 6 CCR 1009-2. 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 (CDPHE) Certificate of Immunization or on an “approved alternate” Certificate of Immunization. Colorado law requires proof of immunization status or exemption be provided prior to or on the first (1st) day of admission. Colorado Department of Public Health and Environment regulation at 6 CCR 1009-2: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 https://www.coloradosos.gov/CCR/Welcome.do. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ S. Ash St., Denver, CO 80246, during regular business hours..

At the time of the visit the director was not able to access 2 children's immunization records. Correction: The facility must have a copy of the children's immunization records before or on the day of the child 1st day of care. Correct immediately and respond with verification of compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

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

2.507.G · Each staff member and regular volunteer as defined in rule section 2.509 must complete an annual self-reported health history. The health history must be maintained by the center in a secure location.

Reviewed 3 staff files and staff member 1 and 3 had exiped health history statement. Also staff member #2 was lacking a health history statement. Correction: All staff member must complete a health history statement and renew annually. Correct and respond with verification by 6/19/2026 Correct by 06/19/2026

Corrected Corrected by Jun 19, 2026

Category: health medication. 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 3 staff files and staff member 2 was lacking an out of state 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 member # 2 have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters) for staff member #2 with written response to the Specialist by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

Category: supervision. Marked corrected in the state record.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed staff files and staff member 3 was lacking a current child abuse prevention training. Correction: Review and ensure that all staff must complete achild abuse prevention training and renew annually. Correct immediately and respond with a plan for ongoing compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

Category: recordkeeping. Marked corrected in the state record.

2.509.A.2 · The program director must be at least twenty-one (21) years of age, and must have completed at least one (1) of the following qualifications:

Review the director file and it was lacking proof of director qualifications . Correction: The facility must have proof of director qualifications. Correct immediately and respond with verification of compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

Marked corrected in the state record.

2.509.B.1.a · Each program leader must be at least eighteen (18) years of age, demonstrate ability to work with children, and must have completed at least one (1) of the following qualifications: Must have at least three (3) months (455 hours) of verified experience in the care and supervision of four (4) or more children over the ages of four (4) who are not related to the individual; or.

At the time of the visit staff member #3 was acting as a Program Leader. A staff file review was completed and staff member #3 was lacking verification of experience. Correction: Review and ensure that all Program Leaders must have at least 455 hours of experience working with school age children. Correct immediately and respond with verification of compliance by 6/19/2026. Correct by 05/19/2026

Corrected Corrected by May 19, 2026

Category: supervision. Marked corrected in the state record.