2.206.B.8 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The center’s procedure on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children with challenging behaviors, including how the center will:

Identified through staff statement and lack of documentation: Program did not follow center created policy regarding techniques for supporting ch1 and ch2 with challenging behavior in the classroom. Correction: Provide a written plan of action along with a written statement of compliance within the overall response ensuring that the center created written policies and procedures on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting children with challenging behaviors. Correct by 06/05/2025

Corrected Corrected by Jun 5, 2025

Marked corrected in the state record.

2.206.B.9.a · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: How decisions are made and what steps are taken prior to the suspension, expulsion, or request to parents or guardians to withdraw a child from care due to concerns about the child’s behavioral issues. These procedures must be consistent with the center’s policy on guidance and positive instruction, and include documentation of the steps taken to understand and respond to challenging behavior including: Identify and consult with an early childhood mental health consultant, AS DEFINED IN SECTION 26.5-3-701, C.R.S or other specialist as needed.

Identified through staff statement and lack of documentation: program did not follow program's created policies and procedures regarding challenging behavior and documenting steps taken with ch1 and ch2. Correction: Provide a written plan of action and a written statement of compliance within the overall response ensuring written policies and procedures are developed, implemented, and followed by the program. Correct by 06/05/2025 Stage II Licensing Concern : The Program did not report an incident that occurred on 3/10/2025 to the appropriate agency within the required timeframe. - FOUNDED

Corrected Corrected by Jun 5, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 statement and lack of documentation, the progam did not report within 24 hours to the appropriate agency an allegation concerning ch1 and ch2. Correction: Immediately (5/22/2025) ensure that all allegations of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or county Department of Human Services is reported to the Department within 24 hours. Provide a written statement of compliance within the overall response. Correct by 05/22/2025 Stage II Licensing Concern : On 3/10/2025, Ch1 and Ch2 were on the playground behind an outdoor lounger with a shade top when Ch1 pulled their pants down and urinated on the ground and put their private parts in ch2’s mouth. On multiple other occasions, Ch1 and Ch2 touch each other’s bottoms and pull down their pants in the classroom. - FOUNDED

Corrected Corrected by May 22, 2025

Category: ratio. 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

Identified through staff statement: ch1 and ch2 were behind an outdoor child lounge chair on the preschool playground blocking staff's direct sight of the children. Staff1 and Staff2 did not witness the incident between ch1 and ch2 occur on 3/10/2025, Correction: Immediately (5/22/2025) ensure that a qualified staff member is supervising the children at all times. Provide a written plan of action along with a written statement of compliance within the overall response Correct by 05/22/2025

Corrected Corrected by May 22, 2025

Category: supervision. Marked corrected in the state record.

2.232.A.4 · The play area must be designed so that it is easily supervised.

Identified through staff statements: an outdoor lounger with a shade top in the preschool playground prevented staff1 and staff2 from easily supervising ch1 and ch2 on 3/10/2025 when an incident occurred. Correction: Immediately (5/22/2025) ensure all play areas are designed to allow staff to easily supervise the children. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 06/05/2025 Stage II Licensing Concern :

Corrected Corrected by Jun 5, 2025

Category: supervision. Marked corrected in the state record.

2.206.B.10 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children's illnesses, accidents, and injuries

Identified through staff statement and lack of documentation: program did not provide an incident report to parent/ guardians for an incident that occurred on 3/10/2025. Correction: Provide a written plan of action along with a written statement of compliance within the overall response ensuring the program follows written policies and procedures of notifying parents on handling children's (injuries illnesses accidents) . Correct by 06/05/2025 Stage II Licensing Concern : Program states staff files are kept off site and not available during a county visit to the program on 4/01/2025. - FOUNDED

Corrected Corrected by Jun 5, 2025

Marked corrected in the state record.

2.126.D.3 · An agency or facility must not interview staff or children regarding the specific allegation(s) of child abuse or child neglect until the county department of human or social services and/or local law enforcement agency has had the opportunity to interview all appropriate individuals and completed their investigation.

Identified through staff statement: program did not supply staff documentation to a county worker during a visit to the program. Correction: Immediately (5/22/2025) ensure the program cooperates with and provides files and information requested to the county department of social services. An agency or facility must not interview staff or children regarding the specific allegation(s) of child abuse or child neglect until the county department of human or social services and/or local law enforcement agency has had the opportunity to interview all appropriate individuals and completed their investigation. Provide a written statement of compliance within the overall response. Correct by 05/22/2025 Stage II Licensing Concern :

Corrected Corrected by May 22, 2025

Marked corrected in the state record.

2.126.D.2 · An agency or facility must not interfere or refuse to cooperate with a child protection investigation.

Identified through staff statement: Program completed recorded interviewes of staff statement prior to county visit. Correction: Immediately (5/22/2025) ensure Child Protection or local law enforcement are allowed to conduct their investigations before the employer initiates internal investigations. An agency or facility must not interfere or refuse to cooperate with a child protection investigation. Provide a written statement of compliance within the overall response. Correct by 05/22/2025 ________________________________________________ ________________________________________________

Corrected Corrected by May 22, 2025

Category: recordkeeping. Marked corrected in the state record.

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

At time of inspection, A slack line with a hanging bar and climbing rope secured between two poles and placed over a grass surface, lacking 6" of resilient surfacing in the preschool playground. Correction: Corrected at time of visit, 5/22/2025, staff immediately removed the hanging bar and climbing rope from the preschool playground. NO RESPONSE REQUIRED. Correct by 05/22/2025

Corrected Corrected by May 22, 2025

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

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

Reviewed 25 staff files and observed Jaira L, and Megan B to be lacking documentation of a current certificate of training in Standard Precautions. Correction: Immediately (1/15/25) ensure that the program obtains and maintains documentation of a current standard precautions training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 01/15/2025

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually.

Reviewed 25 staff files and observed Abel M, Jaira L, and Kimberly C lacking documentation of the Department-approved training regarding child abuse prevention. Correction: Immediately (1/15/2025) ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 01/15/2025

Corrected Corrected by Jan 15, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed (25) of staff files and observed Kimberly C lacking a completed Department-approved Safe Sleep training. Correction: Immediately (1/15/2025) ensure that the program obtains and maintains current documentation of the Safe Sleep training certificates for all staff who work with children less than 12 months of age to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 01/15/2025

Corrected Corrected by Jan 15, 2025

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