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 10 staff files and observed Cody and Margaret, lacking documentation of the Department-approved training regarding child abuse prevention. Correction: Immediately (6/25/2025) 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.

2.120.C.1.a.1 · 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: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Reviewed (10) files and observed Abril M lacking documentation of a submitted TRAILS background check 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 staff members listed above with written response to Specialist. Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

Category: supervision. Marked corrected in the state record.

2.207.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

During walk through: The infant classroom had 4 children and only 3 signed in. Toddler classroom had 4 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children and only 3 signed in and Toddler 3 classroom had 4 children and 3 signed in. Correction: Staff Immediately (6/25/2025) corrected the sign in sheets at time of visit to include children that were not signed in by a parent/guardian. No response required. Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

Category: transportation. 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 (10) staff files and observed Cody to be lacking documentation of a current certificate of training in Standard Precautions. Correction: Immediately (6/25/2025) 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 06/25/2025

Corrected Corrected by Jun 25, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(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 10 staff files and observed Margaret M, Firdos, and Abril 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 above listed staff have completed the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs. Correct by 07/25/2025

Corrected Corrected by Jul 25, 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:

During walk through: staff1 and staff2 were in the toddler 3 classroom with 4 children and lacking qualifications of an ECT. Correction: Corrected at time of visit (6/25/2025) The director immediately moved a qualified ECT in the toddler 3 classroom. Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

Category: supervision. Marked corrected in the state record.

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

During time of walk through: 3 sheets within the infant classroom were loose and did not properly fit to the matrress. No infants were observed sleeping at time of inspection. Correction: At time of inspection (6/25/2025) the staff member changed all 3 sheets to properly fitting sheets. NO RESPONSE REQUIRED. Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

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

2.213.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

Reviewed (10) staff files and observe only (1) staff member with a completed FirstAid/ CPR certificate. 48 children in attendance. Program lacking (1) additional with full CPR/First Aid Certfication. Correction: Immediately (6/25/2025) ensure that for every thirty (30) or fewer children in attendance, there is at least one (1) staff member on duty who holds a current Department-approved First Aid and Safety Certificate (including CPR for all ages of children) and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. Provide a written statement of compliance within the overall response. Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

Category: ratio. Marked corrected in the state record.

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

Reviewed (10) staff files and observed staff within the infant classroom lacking documentation of CPR/First Aid Certificate. Correction: Immediately (6/25/2025) ensure there is one (1) staff member on duty in each infant room at all times who holds a current Department-approved First Aid and Safety certificate that includes CPR for all ages of children. Provide a written statement of compliance within the overall response. Correct by 06/25/2025

Corrected Corrected by Jun 25, 2025

Marked corrected in the state record.

2.230.C.1.b · Department-approved resilient surfacing includes loose fill materials such as wood chips, wood mulch, engineered wood fiber, pea gravel, synthetic pea gravel, shredded rubber tires, and sand. Solid unitary materials include poured in place surfacing, approved rubber mats, playground tiles, and Astroturf with built in resilient pad.

Slide structure on the preschool playground exceeding 18" with worn and deteriorating pour and play surfacing. Correction: Immediately (7/29/24) staff must make the outdoor play area inaccessible to children until an approved resilient material has been installed. Provide a written statement of compliance within the overall response. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

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

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

Reviewed 8 staff files and observed Mary R 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

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 8 staff files and observed Rebekah W and Awok to be lacking documentation of a current certificate of training in Standard Precautions. Correction: Immediately (7/29/2024) 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 07/29/2024

Corrected Corrected by Jul 29, 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 must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 8 staff files and observed Mary R to be lacking documentation of a renewed FBI 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 07/29/2024

Corrected Corrected by Jul 29, 2024

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

2.232.B.1.c.1 · If an outdoor play space is not directly attached to the facility or accessible via secure access, or FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the child care facility cannot meet outdoor space requirements due to a hardship based on the location of the facility, the facility must develop a site-specific plan, which will be submitted to the Department for review and approval, that includes the following: A plan for supervision, including any special staffing requirements, to safely access and utilize the alternate outdoor space that includes: Attendance tracking upon arrival to the outdoor space and return to the facility;

Preschool access to playground is through the front door and down side walk next to parking lot. Program does not have a current plan submitted to the Department. Correction: Immediately (7/29/24) ensure program devolops and submits a site specific plan for the preschool playground to include the above listed requirements. Provide a written statement of compliance within the overall response. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: supervision. Marked corrected in the state record.

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

Perimeter boards to preschool playground are loose causing a potential tripping hazard. Correction: Immediately (7/29/2024) ensure that all areas used for child care are kept in good repair and maintained in asafe condition. Provide a written statement of compliance within the overall response. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

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

2.138.A · 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 program's drill log and observed it to be lacking tornado drills for the current 2024 year. Correction: Immediately (7/29/2024) 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 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

2.221.B.1 · When the parent(s)/guardian(s) applies sunscreen, the center must have a mechanism for documenting application times to ensure sunscreen is reapplied as directed by the product label. If documentation of application time is not available, the center must ensure that sunscreen is applied thirty (30) minutes before going outdoors. If the child will be outside for more than one (1) hour, sunscreen must be reapplied every two (2) hours.

At time of inspection, staff stated parents apply sunscreen in the morning prior to care and staff do not reapply sunscreen in the afternoon. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediatley (7/29/2024) ensure center has a mechanism for documenting application times to ensure sunscreen is reapplied as directed by the product label. Provide a written statement of compliance within the overall response. Correct by 07/29/2024

Corrected Corrected by Jul 29, 2024

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.

All classrooms lacking attendance verification for transition times. Correction: Immediately (7/29/2024) 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 07/29/2024

Corrected Corrected by Jul 29, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.34.A.7 · The admission record must include: A dated, written authorization for emergency medical care signed and updated annually by the parent(s)/guardian(s). The authorization must be notarized if required by the local hospital, clinic, or emergency health care facility.

Reviewed 3 children's files and observed 1 file to be lacking a current emergency medical authorization. Correction: Immediately (12/12/2023) 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 12/12/2023

Corrected Corrected by Dec 12, 2023

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

7.702.46.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

During the time of inspection, Toddler 3 classroom was observed 1 child (age 37 months) over the age of three years in a classroom that is licensed for ages (24months - 36 months). Correction: Immediately (12/12/2023) 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 12/12/2023 ________________________________________________

Corrected Corrected by Dec 12, 2023

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 8 staff files and observed Ratree C lacking a current Department- approved standard precautions training. Correction: Immediately (08/31/23) 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 08/31/2023

Corrected Corrected by Aug 31, 2023

Category: ratio. Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 (5) child files and observed 4 children's files lacking a current health statement signed and dated by 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 09/30/2023

Corrected Corrected by Sep 30, 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 8 staff files and observed Mary R, Rebecca W, Elham C, and Awok K. 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 above listed staff have completed the Department-approved training for Introduction to the Early Intervention and Preschool Special Education Programs. Correct by 09/30/2023

Corrected Corrected by Sep 30, 2023

Category: recordkeeping. Marked corrected in the state record.

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 8 staff files and observed Awok K lacking 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

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

702.91.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 within the toddler 2 classroom. Correction: Teacher immediatley (7/31/23) covered the outlet within the toddler 2 classroom. No Response required. Correct by 07/31/2023

Corrected Corrected by Jul 31, 2023

Marked corrected in the state record.

702.32.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /~uardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

Identified through attendance sheets during the walk through that children are not being signed in and out for the day by parents or legal guardians with the parent or legal guardians' signature in all classrooms. Correction: Immediately (7/31/23) ensure that the program maintains documentation for each child being signed ;n and out daily that includes the name of each child, the date, time and signature of the parent/legal guardian. Provide a written plan of action along with a written statement of compliance within the overall response. Correct by 07/31/2023 ---------------------------------------------

Corrected Corrected by Jul 31, 2023

Category: transportation. Marked corrected in the state record.

7. 702. 71.C Items labeled "keep out of reach of children" must be inaccessible to children.

Chlorox cleaner on a shelf in an unlocked cabinet within the Toddler 2 classroom accessible to children. An unlocked cabinet under the sink within the infant classroom with cleaner in a bottle accessible to children. Correction: The Director immediately 7/31/23 made the Chlorox and cleaner in the unlocked cabinets inacessible to children. Lock was fastened on cabinet within the Toddler 2 classroom. No Response required. Correct by 07/31/2023 ------------------------------------------

Corrected Corrected by Jul 31, 2023

Marked corrected in the state record.

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

5 torn books within the Toddler 1 classroom and 2 recalled boppy loungers within the infant nursery. Correction: Immediately (7/31/23) ensure all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. . Provide a written statement of compliance within the overall response. Correct by 07/31/2023 ------------------------------------------

Corrected Corrected by Jul 31, 2023

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

702.62.C.17 · If music is played in the infant sleep area, the music must not be played at a loud volume that would prevent Infants from being heard by staff. Music equipment must not be placed under a crib or within three (3) feet of the sleeping infant.

Music player on desk In infant classroom and less than 3 feet from a crib. FAX 303-866-4453 Phone 303-866-5948 Name : Statewide Angel Learning Center License Number: 1725148 Correction: The director Immediately (7/31/23) moved the music player to 5 feet from crib. Correct by 07/31/2023

Corrected Corrected by Jul 31, 2023

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

702.51.B.11 · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

In the Toddler 1 classroom, Diaper creams for individual children lacking the child's first and last names. Correction: Immediately (7/31/23) ensure that all over the counter ointments to include sunscreen are labeled with each child's first and last name within all classrooms. Provide a written statement of compliance within the overall resP')nse. Correct by 07/31/2023 ------------------------------------------

Corrected Corrected by Jul 31, 2023

Category: ratio. Marked corrected in the state record.

7. 702. 72.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.

Climbing caterpillar within Toddler 3 dassroom over 18 inches in height lacking resilient surfacing. Correction: Director immediately 7/31/23 removed the climbing caterpillar from the classroom, and made it inaccessible to children. Correct by 07/31/2023 ------------------------------- -, - - - - - - - - - - -

Corrected Corrected by Jul 31, 2023

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

7. 702. 72.C.1.b Department-approved resilient surfacing includes loose fill materials such as wood chips, wood mulch, engineered wood fiber, pea gravel, synthetic pea gravel, shredded rubber tires, and sand. Solid unitary materials include poured in place surfacing, approved rubber mats, playground tiles, and Astroturf with built in resilient pad.

Resilient surfacing in the preschool playground and toddler playground worn and deteriorating with cracks. Correction: Immediately (7/31/23) ensure that all outdoor play equipment lacking adequate resilient surfacing of at least 6

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

A broken light cover on the comer of the building entering the toddler playground. Correction: Immediately (7/31/23) ensure that all areas used for child care are kept in good repair and maintained in a safe condition. Correct by 07/31/2023 ---------------------------------------------

Corrected Corrected by Jul 31, 2023

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

7. 702. 72.C.8 All outdoor play areas used for children's activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

Several exposed and pretruding nails and screws in the wooden panels of the frame enclosing the pre-k playground. Correction: Immediately (7/31/23) ensure the outdoor play areas are free from hazardous materials or debris by the removal of debris, dilapidated structures, and broken or worn play equipment. Provide a written plan of action along with a statement of compliance within the overall response. Correct by 07/31/2023 --------------------------------- - - - - - - - - --

Corrected Corrected by Jul 31, 2023

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

702.81.C.2 · If the toddler program is combined with a large childcare center or an infant program, toddler facilities, both Indoor and outdoor, must be completely separate from facllitles for other age groups, except as allowed by Section 7. 702. 74, 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 walking through preschool playground to enter toddler playground. Correction: Immediately (7/31/23) ensure all Toddler facilities both indoor and outdoor are completely separate from all other age groups at all times. Provide a written statement of compliance within the overall responce. Correct by 07/31/2023

Corrected Corrected by Jul 31, 2023

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