2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 38 staff files and observed no documentation of Introduction to First Aid and CPR module training for staff members Tamara J., Karrisa W., Karen V. Correction: Obtain and maintain current documentation of Introduction to First Aid and CPR module training for all staff not required in rule to have CPR certification. Correct by 07/26/2025

Corrected Corrected by Jul 26, 2025

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.

Reviewed 38 staff files and observed no current documentation of Shaken Baby training for staff member LaToya C who was working in the Toddler Room 4 and Paola L who was working in the Infant room 2, Correction: Obtain and maintain current documentation of Shaken Baby training for all staff working with children under the age of 3 years prior to working with children. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

Category: recordkeeping. Marked corrected in the state record.

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Three children's health care plan to be expired. Correction: Obtain and maintain current health care plan. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the center.

Reviewed 10 child files and observed 7 children to have expired health statements and 2 children to have no documentation of health statement. Correction: Obtain and maintain current documentation of health statements for all enrolled children. Submit plan for compliance in maintaining current health statements on an ongoing basis. Correct by 07/26/2025

Corrected Corrected by Jul 26, 2025

Category: ratio. Marked corrected in the state record.

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

Dish soap and sanitizer labeled 'keep out of reach of children' in a low, unlocked cabinet in the Soliel room and batteries, Tylenol, and sanitizer wipes all labeled 'keep out of reach of children' in a low unlocked drawer in the TC6 room - all accessible to children and posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - staff members locked the cabinet and removed all hazardous items in the drawer to a shelf inaccessible to children making all hazardous items inaccessible to children. No response required. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

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

2.120.A · An operator of a licensed facility, guest child care facility as defined in section 26.5-5-303(10), C.R.S., or an exempt family child care home provider must submit a request to determine if an operator, applicant for employment or current employee has been found responsible for a confirmed report of child abuse or neglect in the Department's automated system (Trails).

Reviewed 38 staff files and observed no documentation of Trails clearance letter for staff member Gabby C. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Gabby C has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member Gabby C. with written response to the Specialist. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

Category: background checks. 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 38 staff files and observed no current documentation of Infant Safe Sleep training for staff member Paola L., and Emily P. both working in infant classrooms. Correction: Obtain and maintain current documentation of Infant Safe Sleep training for all staff working with infants under 1 year of age prior to working with children. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

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

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ letter.

Reviewed 38 staff files and observed no current documentation of Trails for Annalisa S. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Annalisa S. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member Annalisa S. with written response to the Specialist. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

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

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

Reviewed 38 staff files and observed no current documentation of FBI clearance for staff member Annalisa S. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Annalisa S. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff member Annalisa S. with written response to the Specialist. Correct by 06/26/2025

Corrected Corrected by Jun 26, 2025

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

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

Reviewed 43 staff files and observed no current documentation of Trails clearance letters for staff members Nancy J., Kenzi H., Irma Q., Andrew R., Latoya C., Tamara J., Marissa T., Alicia V., Gracie L., Ursula G. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Nancy, Kenzi, Irma, Andrew, Latoya, Tamara, Melissa, Alicica, Gracie, Ursula have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Nancy, Kenzi, Irma, Andrew, Latoya, Tamara, Melissa, Alicica, Gracie, Ursula with written response to the Specialist. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

Staff member Irma alone on the playground with 7 infants. Correction: Maintain proper staff to child ratio at all times. Submit plan of action with written response to specialist for maintaining infant to staff ratio during outside time. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

Staff member Irma with a group of 7 infants and not supervising all children. Specialist observed several infants put gravel in their mouths while Irma did not notice. Correction: All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise. Submit plan of action with written response to specialist detailing supervision plan. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: supervision. Marked corrected in the state record.

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

Several loose staples coming out of a bulletin board in the TC 3 room accessible to children under the age of 3 years and posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children under the age of 3 years. CORRECTED AT TIME OF INSPECTION - staff removed all loose staples from the board making them inaccessible to children. No response required. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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.

Staff members Alicia, Ariana, Emily all working together in the Nido 2 room at time of inspection. Observed staff member Emily alone with a group of 5 infants going for a walk. Observed staff member Ariana alone with a group of 4 infants on the playground. Reviewed 43 staff files and observed no documentation of ECT or AECT qualifications for Alicia, Ariana, Emily. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: There must be an ECT assigned to care for each group of children at all times unless otherwise stated in rule. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: supervision. Marked corrected in the state record.

2.233.C.1 · If the toddler program is in the same building as a facility caring for children of other ages, the toddler program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

TC5 toddler classroom door open, leading to main hallway where infants, preschoolers pass through. Correction: The toddler program door must remain closed at all times. CORRECTED AT TIME OF INSPECTION - staff member closed the TC5 room door. No response required. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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.

13 infants in one group on the playground. Correction: Maintain proper group size at all times. Submit plan of action with written response to specialist for maintaining infant group size during outside time. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: ratio. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Staff member Irma working alone with a group of infants, staff member Alicia working alone with a group of infants. Reviewed 43 staff files and observed no documentation current Trails clearance letters for staff member Irma, Alicia. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Alicia, Irma have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Alicia, Irma with written response to the Specialist. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: supervision. Marked corrected in the state record.

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

Reviewed 43 staff files and observed no documentation of current FBI clearance letter for staff member Ursula. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Ursula has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff member Ursula with written response to the Specialist. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: background checks. 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.

Two children's medications to not be labeled with children's first and last names. Correction: Medications must be labeled with the child's first and last name. CORRECTED AT TIME OF INSPECTION - staff member wrote first and last name on medications. No response required. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

7.702.62.C.11 · Swaddling of infants must only be allowed with a health care plan completed and signed by the child’s health care provider.

A 5 month old infant in the Nido 2 room still awake but being laid down for nap wearing a Merlin Sleep Sack. Correction: All infants must immediately be placed in a safe sleep environment. Immediately remove the infant from the Merlin sleep suit. CORRECTED AT TIME OF INSPECTION - staff member removed Merlin sleep sack from child. Submit plan of action with written response to specialist. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

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

Plant food under the sink in an unlocked cabinet in the TC5 room, dish sooap under the sink in an unlocked cabinet in the Primary Solei room, and Shellac spray under the sink in an unlocked cabinet in the TC3 room all labeled 'keep out of reach of children' and accessible to children posing a potential hazard. Correction: Immediately make all hazardous items inaccessible to children. CORRECTED AT TIME OF INSPECTION - all hazardous items were made inaccessible to children. No response required. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: nutrition. Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 16 child files and observed 6 children to have no current documentation of health statements. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain current documentation of health statements. Correct by 09/03/2023

Corrected Corrected by Sep 3, 2023

Category: ratio. Marked corrected in the state record.

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

A bag of supplies being stored in one of the evacuation cribs in Nido 1. Correction: Nothing may stored in any evacuation crib. CORRECTED AT TIME OF INSPECTION - staff member removed bag from evacuation crib. No response required. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

7.702.51.A.2.a · 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 16 child files and observed 1 child to have immunization records on a non-state approved form. Correction: Obtain and maintain documentation of immunization records on state approved forms. Correct by 09/03/2023

Corrected Corrected by Sep 3, 2023

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

7.702.34.A.7 · 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 16 child files and observed 2 children to have expired emergency medical authorization. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtan and maintain current documentation of emergency medical authorization Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

7.701.33.A.1 · Each applicant listed below must submit to the Colorado Bureau of Investigation (CBI) and the Federal Bureau of Investigation (FBI) a complete set of fingerprints taken by a qualified law enforcement agency or any third party vendor approved by CBI including county departments of human or social services that use fingerprint machines pursuant to Section 19-3-406(1)(C),(2), C.R.S., to obtain any fingerprint criminal history record held by the CBI and FBI. If a third party takes the individual’s fingerprints, the fingerprints may be electronically captured using CBI’s approved LiveScan equipment. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows:

Reviewed 36 staff files and observed no documentation of CBI, FBI clearance for staff member Alexandria A. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Alexandria has reviewed the powerpoint within 24 hours. Submit documentation of CBI, FBI for staff member Alexandria with written response to Specialist. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

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

Identified that staff member Victoria completed infant safe sleep training on 6/27/2023, staff member Katie completed infant safe sleep training on 6/14/2023, staff member Ursula completed infant safe sleep training on 6/28/2023, and staff member Alicia completed infant safe sleep training on 6/26/2023 and a child in their care was found in an unsafe sleep environment. Correction: Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

7.702.51.B.1 · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in childcare.

Reviewed all children's health care plans and observed 4 children to have no documentation of parent signature on health care plan and 1 child to have an expired health care plan. Correction: Obtain and maintain current documentation of health care plan for all children including parent and health care providier signature. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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