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.

Identified through documentation: Parents of ch1 were not notified that ch1 did not have milk at the program, resulting in ch1 receiving no milk for the entire day of care. Ch1 received water in place of milk. Correction: Immediately (6/12/2026) 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

Open Not marked corrected in the state record

Open / not marked corrected.

2.224.B.1 · An individualized diet and feeding schedule must be provided according to a written plan submitted by the parent or by the child's physician with the knowledge and consent of the parent. A change of diet and schedule must be noted on each child's daily activity schedule and posted in an area clearly visible to the staff.

Identified through documentation: SM1 and SM2 did not follow Ch1 feeding schedule. Ch1 did not receive bottles according to the feeding plan for the entire day of care. Correction: Immediately (6/12/2026) ensure all children, within the infant classroom, have an individualized diet and feeding schedule must be provided according to a written plan submitted by the parent or by the child's physician with the knowledge and consent of the parent. A change of diet and schedule must be noted on each child's daily activity schedule and posted in an area clearly visible to the staff. Provide a written statement of compliance within the overall response. Correct by 06/12/2026

Corrected Corrected by Jun 12, 2026

Marked corrected in the state record.

2.225.H · Any form of restraint is not permitted.

Identified through documentation: SM1 would forcefully restrained infants while changing their diapers. Correction: Immediately (6/12/2026) ensure any form of restraint is not permitted. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 06/12/2026

Corrected Corrected by Jun 12, 2026

Marked corrected in the state record.

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

Identified through documentation: Program failed to report information received of a reportable incident to the appropriate agency. Correction: Immediately (6/12/2026) Ensure the facility immediately reports all reportable incidents within the required timeframe. Provide a written statement of compliance within the overall response. Correct by 06/12/2026

Corrected Corrected by Jun 12, 2026

Marked corrected in the state record.

2.223.B.1 · Outside of mealtimes, children who are awake must not be confined for more than fifteen (15) minutes at a time to cribs, playpens, swings, highchairs, infant seats, or other equipment that confines movement. Children must have the opportunity for freedom of gross motor movement.

Identified through documentation: During nap time, SM1 left awake infants in cribs exceeding 15 minutes. SM1 would regularly confine infants in exersaucer for 25 minutes. SM1 would regularly confine infants to cribs for 15-25 minutes during play time. Correction: Immediately (6/12/2026) children who are awake are not be confined for more than fifteen (15) minutes at a time to cribs, playpens, swings, highchairs, infant seats, or other equipment that confines movement. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 06/12/2026

Corrected Corrected by Jun 12, 2026

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

2.223.B.4.a · Children must be allowed to leave their sleeping area immediately upon waking.

Identified through documentation: during nap time, Infants remain in cribs upon waking, SM1 did not immediately tend to the awake infants and remove them from the cribs. Correction: Immediately (6/12/2026) ensure all program staff allow children to leave their sleeping area immediately upon waking. Provide a written statement of compliance within the overall response. Correct by 06/12/2026

Corrected Corrected by Jun 12, 2026

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

2.223.B.4 · Children must be allowed to form and observe their own pattern of sleep and waking periods. Special provision must be made so that children requiring a morning nap time have a separate area for their nap apart from space used for play.

Identified through documentation: infants are not allowed to create their own sleeping patterns and if infants fall asleep before 12 pm, SM(s) will wake up the sleeping infants. Correction: Immediately (6/12/2026) ensure Children are allowed to form and observe their own pattern of sleep and waking periods. Provide a written statement of compliance within the overall response. Correct by 06/12/2026 ________________________________________________

Corrected Corrected by Jun 12, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Chain fence in between infant and preschool playground is loose/seperated from the ground, creating large gaps between ground and fence. Correction: Immediately (6/12/2026) 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 06/12/2026

Corrected Corrected by Jun 12, 2026

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

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed (30) staff files and observed (1) staff member responsible for the child immunizations lacking current Department training. Correction: Corrected at time of visit, 12/08/2025, the director immediately completed a current CDPHE immunization course. No response required. Correct by 01/08/2026

Corrected Corrected by Jan 8, 2026

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

2.213.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 (30) staff files and observed (1) staff to be lacking documentation of the the First Aid and CPR Module training for those staff not required to be certified in First Aid and CPR training. Correction: Provide a written statement of compliance within the overall response ensuring that all staff have completed

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.229.F · Glitter must not be used with children under three (3) years of age.

Glitter found accessible to children under three years of age located on a bulletin board in hallway. Correction: Immediately (12/08/2025) ensure all glitter is inaccessible to children under the age of three. Provide a written statement of compliance within the overall response. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

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.

(1) medication lacking current written order for (1) child in care. Correction: Immediately (12/08/2025) ensure 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. Provide a written statement of compliance within the overall response. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

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

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

Reviewed children's medications and observed (1) child lacking (1) medication required within written order. Correction: Immediately (12/08/2025 ensure any-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition and the program obtains all applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented. Provide a written statement of compliance within the overall response. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

Category: supervision. Marked corrected in the state record.

2.220.G.1 · Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation.

Emergency medications accessible to children in an unlocked low drawer in the front office. Correction: The director (12/08/2025) immediately locked the cabinet and the medication is not accessible to children. No response is required. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

Category: health medication. 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.

(3) outlets in the hallway and (1) outlet in young toddlers lacking protective covers and accessible to children in care Correction: Corrected at time of visit, the director immediately (12/08/2025) covered the electrical outlets with protective covers. No response required. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

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 (15) children's files and observed (2) of the files lacking a current authorization for emergency FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ medical care signed by a parent/guardian. Correction: Immediately (12/08/2025) 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 12/08/2025

Corrected Corrected by Dec 8, 2025

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

2.219.B.1 · 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, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section 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 www.sos.state.co.us/CCR. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed (15) children's file and observed (1) lacking documentation of immunizations on an approved form. Correction: Immediately (12/08/2025) ensure child files have documentation of school required immunizations on the Colorado Department of Public Health and Environment Certificate of Immunization or an "approved alternate" Certificate of Immunization. Provide a written statement of compliance within the overall response. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

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

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed (15) children's files and observed (2) children lacking documentation of a current health statement. Correction: Immediately (12/08/2025) ensure the center must maintain and update annually and upon changes a copy of the child's health statement completed by a health provider. Provide written statement of compliance within the overall repsonse. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

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

2.216.B.2.b · The infant program supervisor or an infant early childhood teacher must be assigned to each group of ten (10) or fewer infants in attendance. An infant program staff aide may be assigned to assist the infant program supervisor or the infant early childhood teacher when six (6) through ten (10) infants are in care in the group to maintain the staff ratio of one (1) adult for each five (5) infants.

Identified through staff statement: On 6/13/2025, Staff1 worked alone in the infant classroom with 5 infants and lacking documentation of qualifications for early childhood teacher. Correction: Immediately (6/16/2025) ensure an infant early childhood teacher must be assigned to each group of ten (10) or fewer infants in attendance. Provide a written statement of compliance within the overall response. Correct by

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 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.

Identified through staff statement: On 6/13/2025, Staff 2 and Staff 3 had 11 infants in the Young Infant classroom on 6/13/2025. Correction: Immediately (6/16/2025) ensure staff-child ratio is in compliance with the appropriate child to staff ratios. Provide a written plan of action, along with a written statement of compliance within the overall response Correct by 06/16/2025

Corrected Corrected by Jun 16, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

Identified through staff statement: On 6/13/2025, The Young Infant and Older Infant classroom were combined in the morning with 11 infants present in the young infant classroom, licensed for 8 infants. Correction: Immediately (6/16/2025) ensure that the licensed room capacity is not exceeded at any time. Provide a written statement of compliance within the overall response. Correct by 06/16/2025

Corrected Corrected by Jun 16, 2025

Marked corrected in the state record.

2.223.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

Identified through staff statement: an 11 month old infant placed in an unsafe sleep environment. Ch1 was FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ placed on a cot with a blanket in the Young Toddler Classroom. Correction: All infants must be placed in a safe sleep environment. Immediately (6/16/2025) ensure all infants under the age of 18 months in the infant program are placed in an approved crib or approved sleep/rest equiment without any soft bedding. Provide a written plan of action along with a written statement of complaince within the overall response. Correct by 06/16/2025

Corrected Corrected by Jun 16, 2025

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

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

At time of inspection, Ch1, an infant under 12 months of age, was in the young toddler classroom, licensed for children ages 12 months to 36 months. Correction: Immediately (6/16/2025) Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. Provide a written statement of compliance within the overall response. Correct by 06/16/2025

Corrected Corrected by Jun 16, 2025

Marked corrected in the state record.

2.209.A.1 · 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:The child's full name, birth date, current address, and date of enrollment;

Reviewed (3) child files and observed (1) file listing the incorrect birth date for ch1. Ch1's age verified through alternate documentation. Correction: Immediately (6/16/2025) ensuring that enrollment records for all children contain the above listed information. Provide a written statement of compliance within the overall response Correct by 06/16/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Jun 16, 2025

Category: recordkeeping. Marked corrected in the state record.

2.223.C.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals.

At time of inspection: a 7 month old infant in the Young Infants classroom placed in an unsafe sleep environment; Observed ch2 asleep wearing a medical device prior to the program acquiring the written authorization from a parent/guardian and health care provider. Correction: All infants must immediately be placed in a safe sleep environment. Immediately (6/16/2025) ensure program aquires all authorizations for equipment used during rest periods prior to using equipment within the infant classroom. Provide a written plan of action and a written statement of compliance within the overall response. Correct by 06/16/2025

Corrected Corrected by Jun 16, 2025

Category: health medication. 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.

Identified that staff2 completed infant safe sleep training on 9/19/2024, and a child in their care was found in an unsafe sleep environment. At time of inspection, ch2 was asleep in a crib wearing a medical device prior to the program FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ acquiring the written authorization Correction: Immediately (6/16/2025) ensure that all safe sleep practices are followed, for all infants, at all times and 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 06/16/2025

Corrected Corrected by Jun 16, 2025

Category: physical safety. 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.

Identified Angie D. was required to renew infant safe sleep training by 3/20/2025 and failed to complete renewal of the training in the required timeframes, and a child in their care was found in an unsafe sleep environment on 6/16/2025. Correction: Immediately (6/16/2025) ensure that all safe sleep practices are followed, for all infants, at all times. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 06/16/2025

Corrected Corrected by Jun 16, 2025

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

2.226.A.4 · Infants must be provided access to outdoor play at least three (3) times per week, weather permitting.

Identified through staff statement: infants within the Young Infants classroom do not go outside at least (3) times a week. Correction: Immediately (6/16/2025) ensure Infants must be provided access to outdoor play at least three (3) times per week, weather permitting. Provide a written statement of compliance within the overall response. Correct by 06/16/2025

Corrected Corrected by Jun 16, 2025

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.

Identified that Johany completed safe sleep training on 5/16/2024 and Jasmine completed infant safe sleep training on 1/06/2025, and a child in their care was found in an unsafe sleep environment on 6/11/2025. Correction: Immediately (6/11/2025) ensure that all safe sleep practices are followed, for all infants, at all times. Provide a written plan of action along with a written statement of compliance within the overall resposne. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: physical safety. 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 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.

Identified through child attendance records and staff statements: staff1 was alone in the infant classroom with 8 infants. Correction: Immediately (6/11/2025) ensure staff-child ratio is in compliance with the appropriate child to staff ratios. Provide a written plan of action, along with a written statement of compliance within the overall response. Correct by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.113.A.7 · Any person intentionally making a false statement or report to the Department or to any agency delegated by the Department to make an investigation or inspection under the provisions of the Child Care Licensing Act may be fined up to $250 a day for the first day, $500 for the second day, $1,000 a day for the third and subsequent days to a maximum of $10,000.

Identified through staff statement and lack of documentation: the injury description given to POC/guardian did not include the correct details of the incident that occurred on 6/06/2025. Correction: Immediately (6/11/2025) Any person intentionally making a false statement or report to the Department or to any agency delegated by the State Department to make an investigation or inspection under the provisions of the Child Care Licensing Act may be fined up to $250 a day for the first day, $500 for the second day, $1,000 a day for the third and subsequent days to a maximum of $10,000. Provide a written statement of compliance within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Marked corrected in the state record.

2.216.B.2.b · The infant program supervisor or an infant early childhood teacher must be assigned to each group of ten (10) or fewer infants in attendance. An infant program staff aide may be assigned to assist the infant program supervisor or the infant early childhood teacher when six (6) through ten (10) infants are in care in the group to maintain the staff ratio of one (1) adult for each five (5) infants. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through staff attendance record and at time of inspection: Staff within the older infant classroom, Briana and Makayla, were working in the older infant classroom and lacking documentation of qualifications for early childhood teacher. Correction: Immediately (6/11/2025) ensure an infant early childhood teacher must be assigned to each group of ten (10) or fewer infants in attendance. Provide a written statement of compliance within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: supervision. Marked corrected in the state record.

2.216.B.2.a · In the infant program, there must be a qualified infant program supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual qualified as an infant early childhood teacher must be responsible during the remaining time.

Identified through staff statement: IPS responsible for the care of infants assigned to older infants classroom lacking documentation of early childhood teacher qualifications. Correction: Immediately (6/11/2025) ensure In the infant program, there must be a qualified infant program supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. Provide a written plan of action within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: supervision. Marked corrected in the state record.

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

At time of inspection: An infant aged 10 months observed in the young toddler classroom asleep on a cot. Correction: Immediately (6/11/2025) ensure Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority. Provide a written statement fo compliance within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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

2.223.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

A 10 month old infant placed in an unsafe sleep environment; ch2 was observed asleep on a cot within the young toddler classroom at the time of inspection. Correction: All infants must immediately be placed in a safe sleep environment. Immediately move infant to approved sleep equipment. Provide a written plan of action for along with a written statement of compliance within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

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

2.223.D.4 · In the toddler room, a crib, sleeping cot, or two (2) inch mat must be provided for each child, and there must be a minimum of two (2) feet between each crib or cot. Aisles between cots or cribs must be kept free of all obstructions while cribs are occupied. No child less than the age of two (2) years should use a cot for sleeping without written permission of the parent or guardian.

At time of inspection: An infant age 10 months was in the toddler classroom asleep on a cot without written parent/ guardian permission. Correction: Immediately (6/11/2025) ensure In the toddler room, a crib, sleeping cot, or two (2) inch mat must be provided for each child, and there must be a minimum of two (2) feet between each crib or cot. Aisles between cots or cribs must be kept free of all obstructions while cribs are occupied. No child less than the age of two (2) years should use a cot for sleeping without written permission of the parent or guardian. Provide a written statement of compliance within the overall response. Correct by 06/11/2025

Corrected Corrected by Jun 11, 2025

Category: physical safety. 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.

Identified at time of inspection: staff member Johany caring for a child under 12 months and lacking documentation of a current safe sleep training. Correction: Immediately (6/11/2025) 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 06/11/2025

Corrected Corrected by Jun 11, 2025

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

2.209.B.1 · The center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent(s)/guardian(s).

Identified through lack of documentation and staff statement: an injury report was not provided to the parent/guardian for ch1 on 6/06/2025. Correction: Immediately (6/11/2025) ensure the center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.218.C.3 · For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care.

Identified through staff: program did not seek emergency services for ch1 during a suspected seizure on 6/06/2025. Correction: Immediately (6/11/2025) ensure all children with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. Provide a written statement of compliance along with a written plan of action within the overall response. Correct by 06/11/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Jun 11, 2025

Category: health medication. 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 38 staff files and Elzabieta K to be lacking an updated TRAILS clearance letter obtained prior to 5 years from the date reflected on the current clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the above listed staff have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff members listed above with written response to Specialist. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 38 staff files and observed Claire lacking documentation of the Department-approved training regarding child abuse prevention. Correction: Immediately (1/22/2025) 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 01/22/2025

Corrected Corrected by Jan 22, 2025

Category: recordkeeping. 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.

One uncovered outlet in the toddler classroom. Correction: Corrected at time of visit, the ECT immediately (1/22/2025) covered the outlet with a safety plug. No response is required. Correct by 01/22/2025

Corrected Corrected by Jan 22, 2025

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 32 staff members and observed Elizabeth M and Katia M to be lacking a current TRAILS clearance letter updated every 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of clearance letters for the above listed staff members with written response to Specialist. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ care homes, and qualified exempt provider homes:

Reviewed 32 staff members and observed Emily R to be 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 members have reviewed the powerpoint within 24 hours. Submit documentation of clearance letters for the above listed staff members with written response to Specialist. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

Category: supervision. 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 32 staff members and observed Katia M to be lacking a current FBI clearance letter updated every 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of clearance letters for the above listed staff members with written response to Specialist. Correct by 02/12/2024

Corrected Corrected by Feb 12, 2024

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

2.217.A.15.f · When combining age groups, not including individual child transitions, children must be cared for in the room licensed for the youngest child in care, including the outdoor play area

Identified through attendance tracking sheets, children ages 3-5 were in attendance in the prekindergarten 2 classroom licensed for children 4-6 years of age. Correction: Immediately (1/18/24) ensure that when the program combines age groups, that children are being cared for in the room licensed for the youngest child in care, including the outdoor play area. Provide a written statement of compliance within the overall response. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

Identified through attendance tracking sheets, that the prekindergarten 2 exceeded the room capacity of 24 children with 25 children present in attendance. Correction: Immediately (1/18/24) ensure that the licensed room capacity is not exceeded at any time. Provide a written statement of compliance within the overall response. Correct by 01/18/2024 ________________________________________________

Corrected Corrected by Jan 18, 2024

Marked corrected in the state record.