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 the center.

Reviewed 3 children's files and observed 2 children's files lacking documentation of a current health statement signed by a health care provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a health care provider per the above guidelines. Correct by 06/26/2026

Corrected Corrected by Jun 26, 2026

Category: ratio. 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.

Broken crayons accessible to children less than 3 years of age in the ECE classroom and posing a potential choking hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (5/26/26) ensure that all items that pose a potential choking hazard are inaccessible to children less than three years of age. Corrected at time of inspection staff removed the broken crayons making them inaccessible. NO RESPONSE REQUIRED. Correct by 05/26/2026

Corrected Corrected by May 26, 2026

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

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

Exposed metal wire attached to the base board heating element accessible to children in the Toddler 1 classroom posing a potential hazard. Correction: Immediately (5/26/26) ensure that all areas used for child care are kept in good repair and maintained in a safe condition. Corrected at time of inspection, provider secured the wire in the base board heating element making it inaccessible to children. NO RESPONSE REQUIRED Correct by 05/26/2026

Corrected Corrected by May 26, 2026

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

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

Reviewed medications for 4 children and observed 1 child to have an expired over the counter medication. Correction: Immediately (4/28/26) ensure that any medication that is out of date or left over is disposed of by the parent/guardian. If the parent/guardians do not respond the center must dispose of the expired medications per CDPHE guidelines. Provide a written statement of compliance with in the overall response. Correct by 04/28/2026

Corrected Corrected by Apr 28, 2026

Category: health medication. 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.

Reviewed medications for 4 children and observed 1 child to have an expired prescription medication. Correction: Immediately (4/28/26) ensure that all medication prescription or non-prescription is unexpired and only

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

Identified through review of name to face documentation that o 3/5/26 the Toddler 1 classroom did not complete name to face when transitioning inside from the outdoor play space. Correction: Immediately (3/5/26) ensure that the program maintains documentation of written attendance verification periodically throughout the day, to include during transitions. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 03/05/2026

Corrected Corrected by Mar 5, 2026

Category: recordkeeping. Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

The kitchen door was propped open and accessible to children. Correction: Immediately (3/5/26) make Kitchen inaccessible to children. Corrected at time of inspection, provider closed and locked to door to the kitchen. NO RESPONSE REQUIRED. Correct by 03/05/2026

Corrected Corrected by Mar 5, 2026

Category: physical safety. 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 the center.

Reviewed 6 children's files and observed 3 children lacking documentation of a current health statement per AAP guidelines, CH1 due 10/24/25, CH4 due 11/22/25, CH5 due 12/19/25. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a health care provider per the above AAP guidelines. Correct by 03/06/2026

Corrected Corrected by Mar 6, 2026

Category: ratio. Marked corrected in the state record.

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

Baby wipes labeled "keep out of reach of children" accessible to children and posing a potential hazard in the restrooms of the preschool and pre-k classrooms. Correction: Immediately (2/6/26) ensure that all items labeled "keep out of reach of children" are inaccessible to children at all times. Corrected at time of inspection, staff moved the above listed items to an area inaccessible to children. NO RESPONSE REQUIRED. Correct by 02/06/2026

Corrected Corrected by Feb 6, 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.

Small seashells in a basket on a shelf in the ECE classroom accessible to children less than 3 years of age an posing a potential choking hazard. Correction: Immediately (2/6/26) ensure that all items that pose a potential choking hazard are inaccessible to children less than three years of age. Corrected at time of inspection, staff removed the small seashells from the basket, making them inaccessible. NO RESPONSE REQUIRED, Correct by 02/06/2026

Corrected Corrected by Feb 6, 2026

Category: physical safety. 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.

Resilient material under the swings on the preschool playground to measure approximately 1 inch. Correction: Immediately (2/6/26) ensure that all climbing equipment over 18 inches has a department approved resilient surfacing of at least 6 inches. Provide a written statement of compliance within the overall response. Correct by 02/06/2026

Corrected Corrected by Feb 6, 2026

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

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

Chipping paint on the wall behind the rocking chair in the infant classroom posing a potential hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (2/6/26) ensure that all areas used for child care are kept in good repair and maintained in a safe condition. Provide a written statement of compliance within the overall response. Correct by 02/06/2026

Corrected Corrected by Feb 6, 2026

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

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

Reveiwed medications for 4 children and observed 1 child to have an expired medication (expired 1/2026). Correction: Immediately (2/6/26) ensure that the parent/guardian is responsible for picking up all out of date or left over medication. If the parent/guardians do not respond the center must dispose of the expired medications per CDPHE guidelines. Provide a written statement of compliance with in the overall response. Correct by 02/06/2026

Corrected Corrected by Feb 6, 2026

Category: health medication. 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 6 children's files and observed 4 children lacking a current emergency medical authorization signed by a parent/gaurdian. Correction: Immediately (3/26/25) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response. 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.

An exposed tree root near the stairs on the toddler playground posing a possible tripping hazard. Correction: Immediately (3/26/25) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Provider removed the exposed tree root at the time of the inspection, NO RESPONSE REQUIRED.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

Reviewed medications and health care plans for 5 children, observed 1 child lacking documentation of a health care plan signed by a health care provider and the parent/guardian. Correction: Immediately (3/26/25) ensure that all health care plans are signed by a health care provider and the parent/guardian. Provide a written statement of compliance within the overall response. Correct by 03/26/2025

Corrected Corrected by Mar 26, 2025

Category: health medication. 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.

Program lacking documentation of a current building fire inspection. Correction: Provide documentation through an approving fire inspection from the local fire department along with a written statement of compliance within the overall response ensuring that a current fire inspection has been obtained and will be maintained. Correct by 03/26/2025

Corrected Corrected by Mar 26, 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.

A packages of baby wipes labeled "keep out of reach of children" accessible to children in the Preschool 1 Classroom. Correction: Immediately (4/29/23) ensure all items labled "Keep out of reach of children" are in accessible to children at all times. Staff moved the items listed above to a location inaccessible to children at the time of the inspection. NO RESPOSNE REQUIRED. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

Marked corrected in the state record.

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

A laundry basket with a cracked handle in the Toddler 1 Classroom and a gap in the middle of the slide on the Preschool Playground accessible to children and posing a possible hazard. Correction: Immediately (4/29/24) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Staff removed the laundry basket at the time of the inspection, making it inaccessible to children. Provide a written statement of compliance within the overall response. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

Category: physical safety. 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 the center.

Reviewed 6 children's files and observed 1 file lacking documentation of a current health statement signed a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ dated by a health care provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a health care provider. Correct by 05/29/2024

Corrected Corrected by May 29, 2024

Category: ratio. Marked corrected in the state record.

2.223.C.19.a · Clothing sacks or other clothing designed for sleep must be worn in lieu of blankets if needed for additional warmth. Clothing must not restrict the movement of the child’s arms or legs.

A Magic Merlin sleep suit in one of the cribs the infant classroom. Correction: The Magic Merlin sleep suit was removed from the classroom at the time of the inspection. Provide a written plan of action with in the overall response. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

Category: physical safety. 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.

A Magic Merlin sleep suit in one of the cribs the infant classroom. Correction: Immediately (4/29/24) ensure that all staff demonstrate knowledgeable decision making, judgment, and concern for the proper care and well being of children. Provide a written statement of compliance within the overall response. Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

Category: physical safety. 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 6 children's files and observed 1 child lacking documentation of a current emergency medical FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization signed by a parent/guardian. Correction: Immediately (4/29/24) ensure that the program obtains and maintains documentation of current written authorization for emergency medical care for all children in care. Provide a written statement of compliance within the overall response." Correct by 04/29/2024

Corrected Corrected by Apr 29, 2024

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