2.217.A.3 · The director of the center must be present at the center at least sixty percent (60%) of any day that the center is open.

Identified Director not present at time of inspection and will not be present for 60 % of the 10 and half hour day. Correction: Immediately (6/04/2026) ensure the director of the center is present at the center for at least 60% of any day that the center is open. Provide a written statement of compliance within the overall response. Correct by 06/04/2026

Corrected Corrected by Jun 4, 2026

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.

Young toddler classroom with (13) toddlers ages 18 months- 36 months exceeding the max group size of 10 toddlers. Correction: Immediately (6/04/2026) ensure the maximun group sizes for children is maintained according to the ages of

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.212.M · Within thirty (30) calendar days of the last day of employment, staff members must be provided a letter verifying their experience at the center. The letter must contain the center’s address, phone number, and license number; the employee’s start date and end date; and the total number of hours worked with children. Hours worked with infants and toddlers must be documented separately from hours worked with other age groups. The letter must be signed by a director, owner, or human resources agent of the center or governing body.

Licensing specialist reviewed (2) former staff files and identified (1) staff member did not receive verification hours within 30 days. Correction: Provide a written statement of compliance within the overall response ensuring the facility provides previous staff members a letter verifying experience at the center within 30 days of the last day of employment. Letter must contain all items listed above in rule. Correct by 04/30/2026

Corrected Corrected by Apr 30, 2026

Marked corrected in the state record.

2.223.C.5 · All sleep/rest equipment must be safe, sturdy, and free from hazards including, but not limited to broken or loose slats, torn mattress, chipping paint or loose screws.

(1) crib sheet with holes on a crib within the infant classroom. Correction: The director immediately (4/16/2026) removed the sheet and placed a sheet with no holes on the crib mattress in the infant classroom. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 04/16/2026

Corrected Corrected by Apr 16, 2026

Category: physical safety. 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.

(5) outlets missing protective covers in the main hallway leading to classrooms. Correction: Immediately (4/16/2026) ensure electrical outlets have protective covers. Provide a written statement of compliance within the overall response. Correct by 04/16/2026

Corrected Corrected by Apr 16, 2026

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 staff statement and lack of documentation, staff1 was alone in the classroom with 6 infants for an unknown amount of time on 3/18/2026. At time of inspection, staff2 exited the preschool classroom, leaving staff5 alone with 18 children. Correction: Immediately (3/18/2026) ensure the facility is in compliance with all staff to child ratios. Provide a written

Open Not marked corrected in the state record

Category: ratio. 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 staff statement, staff within the infant classroom do not follow or have access to the written feeding schedule. Correction: Immediately (3/18/2026) ensure the program follows the individualized diet and feeding schedule provided according to a written plan submitted by the parent or child's physician. Provide a written statement of compliance within the overall response. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

Marked corrected in the state record.

2.205.D · Any center having a director assigned to a classroom must have qualified and adequate staff, allowing the director or qualified staff the ability to attend to the duties of a director as they arise.

At time of inspection, Licensing specialists observed the director assigned to the infant classroom and unable to attend to the duties of the director. Correction: Immediately (03/18/26) ensure the center has qualified and adequate staff to allow director the ability to attend to the duties of the director as they arise. Provide a written statement of compliance within the overall response. Correct by 03/18/2026 ________________________________________________ ________________________________________________

Corrected Corrected by Mar 18, 2026

Marked corrected in the state record.

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

At time of inspection, (1) crib sheet loose and not properly fitted was observed in the infant 2 classroom. Correction: Immediately (3/18/2026) ensure that all crib mattresses have properly fitted sheets. Provide a written statement of compliance within the overall response. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Identified through staff statement, staff4 was working alone in the infant1 classroom and lacking documentation of all completed required background checks. 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 for all staff members lacking current clearance letters with written response to Specialist. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

Category: supervision. Marked corrected in the state record.

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.

At time of inspection, program lacking documentation of attendance verification for the week of 3/16/2026. Correction: Immediately (3/18/2026) 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 in each child's record, with a copy provided to the parent / guardian. Provide a written statement of compliance within the overall response. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

Category: recordkeeping. 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.

Supply room door unlocked with small foam art supplies and broken chalk on a lower shelf accessible to children. Correction: Immediately (3/18/2026) 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. Provide a written statement of compliance within the overall response. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

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

2.214.A.1 · If the director is qualified by a current early childhood professional credential level III or higher, the individual must submit the level III or higher credential to the Department’s PDIS to obtain a large center director qualification letter.

Reviewed director qualifications and observed file lacking documentation of directors letter or a current level III or higher. Correction: Immediately (3/18/2026) ensure Large center directors have a current director qualifications letter issued by the Department or a current early childhood professional credential level III or higher in the Department's Professional Developmental Information System (PDIS) as determined by the Department prior to working as the director of a large center. Provide documentation of director qualifications along with a written statement of compliance within the overall response. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

Marked corrected in the state record.

2.208.A.2 · The following records must be on file at the center: A list of current staff members, substitutes, and staffing patterns; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Program lacking documentation of staffing patterns and schedules for current staff at facility. Correction: Immediately (3/18/2026) ensure that a record is maintained at the program daily that includes a list of current staff, substitutes and staffing patterns. Provide a written statement of compliance within the overall response. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

Category: recordkeeping. 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, Ch2, over the age of 3 years, identified in the young toddler classroom licensed for children ages 24-36 months. Correction: Immediately (3/18/2026) ensure rooms licensed for specific ages of children are not used for other ages of children without prior approval of the licensing authority. Provide written plan of action along with written response within overall response. Correct by 03/18/2026

Corrected Corrected by Mar 18, 2026

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 (12) staff files and observed (2) staff to be lacking documentation of a current standard precautions training. Correction: Immediately (9/24/2025) 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 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: recordkeeping. 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 (4) medications and observed (1) child's medications expired in the preschool classroom. Correction: Immediately (9/24/2025) 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

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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

Toddler playground fence posts observed with peeling paint accessible to children. Correction: Immediately (9/24/2025) 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 09/24/2025

Corrected Corrected by Sep 24, 2025

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

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Reviewed (12) staff files and observed (4) staff to be lacking documentation of verification of 15 clock hours of ongoing professional development. Correction: Provide a written statement of compliance within the overall response ensuring staff who work with children have completed a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development. Correct by 10/24/2025

Corrected Corrected by Oct 24, 2025

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 renewed annually.

Reviewed (12) staff files and observed (4) staff to be lacking documentation of a current training in child abuse prevention. Correction: Immediately (9/24/2025) 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

Open Not marked corrected in the state record

Category: recordkeeping. 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.

Reviewed preschool classroom attendance record and observed it to be lacking transition times. Correction: Immediately (9/24/2025) 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 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: recordkeeping. Marked corrected in the state record.

2.120.D · The Trails child abuse and neglect records request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the state-prescribed form, accompanied by the required fee.

Reviewed (12) staff files and observed (6) staff to be lacking documentation of a verification of TRAILS submission and/or 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 all staff members lacking current clearance letters with written response to Specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: background checks. 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) of the files lacking a current authorization for emergency medical care signed by a parent/guardian. Correction: Immediately (9/24/2025) ensure that the program obtains and maintains documentation of current written

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 (6) child files and observed (1) file lacking current health statement completed by the health care provider. Correction: Immediatley (9/24/2025) ensure the center maintains and updates annually a record on each child that includes a copy of the child’s current health statement completed by a health care provider. Provide a written statement of compliance within the overall response. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

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

2.121.A.1.a · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows: Each applicant for an original license for a center, facility, or agency and any adult eighteen (18) years of age or older who resides in the licensed center, facility or agency.

Reviewed (12) staff files and observed (6) staff to be lacking documentation for criminal record checks request and/or clearance letters. 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 FBI/CBI clearance letter for all staff members lacking current clearance letters with written response to Specialist. Correct by 09/24/2025

Corrected Corrected by Sep 24, 2025

Category: background checks. 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.

Verified through staff statement and classroom rosters, (5) children over the age of 3 were enrolled in the older toddler classroom licensed for children ages 12 months - 36 months. (4) of the (5) children transitioned to the three's classroom on 5/30/2025. At time of inspection, (1) child currently enrolled in the older toddler classroom Correction: Immediately (6/04/2025) 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. Correct by 06/04/2025 ________________________________________________

Corrected Corrected by Jun 4, 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 (1) child file and observed file to be lacking the birthdate from the admission record for a toddler in the older toddler classroom. Correction: Provide a written statement of compliance within the overall response ensuring that enrollment records for all children contain the above listed information. Correct by 06/18/2025

Corrected Corrected by Jun 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

At time of inspection, Adrian L was identified as the lead teacher in the young toddler classroom. Staff file reviewed for Adrian L lacking documentation for qualifications for an early childhood teacher. Correction: Corrected at time of visit, 6/04/2025, The director immediately moved a qualified lead teacher into the young toddler classroom. No response required. Correct by 06/04/2025

Corrected Corrected by Jun 4, 2025

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At time of inspection, the young toddler classroom had 11 toddlers ages 12 months-24 months and 3 staff members. Identified through a staff statement: toddler A and B classrooms combine on the playground with more than 10 toddlers ages 12-24 months; Identified through staff statement: the preschool 1 and preschool 2 classrooms combine on the playground with more than 20 children, exceeding the max group size for age in classroom. Correction: Immediately (12/16/2024) ensure the maximum group sizes for children are maintained according to the ages of the children in the classroom. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 12/16/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Dec 16, 2024

Category: ratio. Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 14 staff files and observed Latasha M and Cindy T lacking documentation of a completed pre-service building and physical premises safety training. Correction: Immediately (10/24/2024) ensure that the program obtains a building and physical premises safety plan and maintains documentation through certificates for all staff being trained on the plan. Provide a written statement of compliance within the overall response." Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. 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.

3 year old in the Toddler classroom licensed for children up to 36 months. Correction: Immediately (10/24/2024) 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 of compliance within the

Open Not marked corrected in the state record

Open / not marked corrected.

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 (14) staff files and observed Julie C lacking a current completed Department-approved Safe Sleep training. Correction: Immediately (10/24/2024) 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 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: physical safety. 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 (14) staff files and observed Julie C lacking a current Department-approved training Prevention of Shaken Baby/ Abusive Head Trauma. Correction: Immediately (10/24/2024) ensure that the program obtains and maintains current documentation of the Shaken Baby Abusive Head trauma training certificates for all staff who work with children less than 3 years of age to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed (14) staff files and observed Latasha M 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, to include the above listed staff, have completed the Department-approved training for Introduction to First Aid and CPR module. Correct by 11/24/2024

Corrected Corrected by Nov 24, 2024

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 renewed annually.

Reviewed 14 staff files and observed Julie C lacking current documentation of the Department-approved training regarding child abuse prevention. Correction: Immediately (10/24/2024) 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 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed attendance record in preschool classroom and observed 3 children not checked out of the classroom for piano class. Correction: Immediately (10/24/2024) 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 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 14 staff files and observed Julie C and Jonie G lacking updated FBI clearance letters. 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 staff members listed above with written response to Specialist. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.233.C.2 · If the toddler program is combined with a large child care center or an infant program, toddler facilities, both indoor and outdoor, must be completely separate from facilities for other age groups, except as allowed by rule sections 2.232(A)(6) and (8). If the facility wishes to provide opportunities for a toddler to have occasional contact with siblings, plans must be approved by the Department licensing representative.

Toddlers cross preshool playground to get to the toddler playground. Identified through director's statement, toddlers do not walk through the playground when preschool children are present. Correction: Immediately (10/24/2024) If the toddler program is combined with a large child care center or an infant program, toddler facilities, both indoor and outdoor, must be completely separate from facilities for other age groups, except as allowed by rule sections 2.232(A)(6) and (8). If the facility wishes to provide opportunities for a toddler to have occasional contact with siblings, plans must be approved by the Department licensing representative. Provide a written statement of compliance within the overall response. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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.

Black paint on chain link fence surrounding toddler playground chipping and peeling. Correction: Immediately (10/24/2024) 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 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.210.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

Identified through director's statement, Tasha M is the Infant Program Supervisor and reviewed 14 staff files and observed Tasha M lacking documentation of verification of experience working with infants and toddlers. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (10/24/2024) ensure that the program obtains documentation of qualifications and trainings for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: supervision. Marked corrected in the state record.

2.122.C · All child care facilities must operate in compliance with local planning and zoning requirements of the municipality, city and county, or county where the facility is located.

Reviewed program files and observed program lacking current documentation of the business license. Correction: Immediately, 10/24/2024, ensure the child care facility operates in compliance with local planning and zoning requirements of the municipality, city, and county where the facility is located. Provide a written statement of compliance within the overall response. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Marked corrected in the state record.

2.121.A.1 · In order to obtain any Colorado Bureau of Investigation (CBI) and/or Federal Bureau of Investigation (FBI) fingerprint criminal history records, each applicant listed below must have their fingerprints taken and processed at a vendor approved by CBI. Approved vendors may be located using the CBI website at Colorado.gov/cbi. Payment of the fee for the criminal record check is the responsibility of the individual being checked, identified as follows:

Reviewed 14 staff files and observed Kathy L and Nicole L. lacking documentation of completed CBI/ FBI clearnance letters. 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 staff members listed above with written response to Specialist. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. 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.

Nicole L and Kathy L working in the preschool classroom alone and lacking documentation of all completed FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ background checks. 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 staff members listed above with written response to Specialist. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: supervision. Marked corrected in the state record.

2.208.A.2 · The following records must be on file at the center: A list of current staff members, substitutes, and staffing patterns;

At time of inspection, program lacking documentation of staffing patterns for staff members in the toddler classrooms for dates reviewed. Correction: Immediately (8/27/2024) ensure that a record is maintained at the program daily that includes a list of current staff, substitutes and staffing patterns. Provide a written statement of compliance within the overall response. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

At time of visit, Program unable to provide documentation for written attendance verification that includes transition times. Correction: Immediately (4/10/2024) 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 04/10/2024 ________________________________________________

Corrected Corrected by Apr 10, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed (14) staff files and observed the program to be lacking documentation of a current medical examfollowed by a subsequent self reported health history for Cori B. Correction: Provide a written statement of compliance ensuring that all staff members submit to the center a medical statement, signed and dated by a physician or other health care provider that is dated no more than six months prior to employment or within thirty calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

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

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed (14) staff files and observed Cori B and Sergia C lacking documentation of the required FEMA training certificate. Correction: Immediately (11/15/23) ensure that the program obtains and maintains documentation of a FEMA training certificate for all staff to include the above listed staff. Provide a written statement of compliance within the overall response Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 (14) staff files and observed Cori B to be lacking the Department-approved training Prevention of Shaken Baby/ Abusive Head Trauma. Correction: Immediately (11.15.23) ensure that the program obtains and maintains current documentation of the Shaken Baby Abusive Head trauma training certificates for all staff who work with children less than 3 years of age to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 (14) staff files and observed Cori B 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, to include the above listed staff, have completed the Department-approved training for Introduction to First Aid and CPR module. Correct by 12/15/2023

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 renewed annually.

Reviewed 14 staff files and observed Pam M, Johni G, Christina G, and Cori B to be lacking documentation FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ of the Department-approved training regarding child abuse prevention. Correction: Immediately (11/15/23) 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 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed (14) staff files and observed Pam, Christina G, and Johnie G to be lacking documentation of a current standard precautions training. Correction: Immediately (11/15/23) ensure that the program obtains documentation of a current Standard Precautions training certificate for the above listed staff that includes the review of the exposure control plan. Provide a written statement of compliance within the overall response. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 14 staff files and observed Christina G to be lacking the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Provide a written statement of compliance within the overall response ensuring that all staff to include the

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed 14 staff files and observed Christina, Pam and Johni to be lacking documentation the Department-approved training for The Impact of Bias on Early Childhood Professionals or other Department-Approved training on implicit bias. Correction: Provide a written statement of compliance within the overall response ensuring that the program obtains documentation of training completion, for all staff, for the Impact of Bias on Early Childhood Professionals or other department approved training on Implicit Bias. Correct by 12/15/2023

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly, but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed drill log and observed program to be lacking completed fire drill for the month of October and only one tornado drill documented for 2023. Correction: Immediately (11/15/2023) ensure that all drills to include lockdown are conducted and documented with the above listed information. Provide a written statement of compliance within the overall response. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.34.C · . All child care facilities must operate in compliance with local planning and zoning requirements of the municipality, city and county, or county where the facility is located.

Reviewed provider's documents and observed program to be lacking documentation of a current business license. Correction: Provide documentation that the child care facility is operating in compliance with local planning and zoning requirements, along with a written statement of compliance within the overall response. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Marked corrected in the state record.

7.702.45.B.1.d · The Infant Program Staff Aide must be at least eighteen (18) years of age, must have completed eight (8) hours of orientation as listed above at the infant program, and must work under the direct supervision of an Infant Early Childhood Teacher.

Reviewed 14 staff files and observed Rachel M to be lacking documentation of 8 hours of orientation at the infant program. Correction: Immediately (11/15/23) ensure staff aides have completed the eight hours of orientation prior to working with the infant/toddler program. Provide a written statement of compliance within the overall response. Correct by 11/15/2023

Corrected Corrected by Nov 15, 2023

Category: supervision. Marked corrected in the state record.