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

Reviewed medications for 3 children and observed 1 child to have an expired epi-pen. Correction: Immediately (5/16/25) ensure that all medications are on-site are unexpired. Provide a written statement of compliance with in the overall response. Correct by 05/16/2025

Corrected Corrected by May 16, 2025

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

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

A wooden sign with glitter on the ledge outside of the Fascination C classroom accessible to children less than 3 years of age. Correction: Immediately (5/16/25) ensure all glitter is inaccessible to children under the age of three. Provider disposed of the sign at the time of the inspection making it inaccessible to children. NO RESPONSE REQUIRED Correct by 05/16/2025

Corrected Corrected by May 16, 2025

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

Loose plastic trash bags in a bin on the floor of the restroom in the Imagination C classroom accessible to children posing a possible hazard. Correction: Immediately (5/16/25) remove plastic bags and make sure they are inaccessible to children. Provider moved the bin to a shelf inaccessible to children at the time of the inspection. NO RESPONSE REQUIRED. Correct by 05/16/2025

Corrected Corrected by May 16, 2025

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

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

At the time of the inspection observed the Imagination C classroom to not have a qualified ECT. Correction: Immediately (5/16/25) ensure that a qualified Early Childhood Teacher is assigned to supervise each group of children at all times. Provider moved a qualified ECT teacher in to the Imagination C classroom at the time of the inspection. Provide a plan for ongoing compliance within the overall response. Correct by 05/16/2025

Corrected Corrected by May 16, 2025

Category: supervision. 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 36 staff files and observed 2 staff (Lavoncea M & Jayden J.) lacking documentation of a current standard precautions training. Correction: Immediately (5/16/25) 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 05/16/2025

Corrected Corrected by May 16, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 36 staff files and observed 2 staff (Lavoncea M & Mary V) lacking documentation of a current safe sleep training. Correction: Immediately (5/16/25) 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 05/16/2025

Corrected Corrected by May 16, 2025

Category: physical safety. 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 36 staff files and observed 1 staff (Lavoncea M)lacking documentation of a current training in child abuse prevention. Correction: Immediately (5/16/25) 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 05/16/2025

Corrected Corrected by May 16, 2025

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.

Reviewed 36 staff files and observed 1 staff (Sierra S) lacking documentation of a current Introduction to First Aid and CPR module 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 06/16/2025

Corrected Corrected by Jun 16, 2025

Category: recordkeeping. Marked corrected in the state record.

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

A container of clorox wipes labeled "keep out of reach of children" on top of the paper towel dispenser accessible to children in the STEAM Lab. Correction: Immediately (6/19/24) ensure all items labled "Keep out of reach of children" are in accessible to children at all times. Staff moved the items listed above to a location inaccessible to children at the time of the inspection. NO RESPOSNE REQUIRED. Correct by 06/18/2024

Corrected Corrected by Jun 18, 2024

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 27 staff files and observed 1 staff lacking documentation of a current standard precautions training. Correction: Immediately (6/19/24) 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 06/18/2024

Corrected Corrected by Jun 18, 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 child lacking documentation of a current emergency medical authorization signed by a parent/guardian. Correction: Immediately (11/17/23) 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 11/17/2023

Corrected Corrected by Nov 17, 2023

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

7.702.71.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Gel window clings on the door of the Fascination B classroom accessible to children less than 3 years of age posing a possible choking hazard. Correction: Immediately (11/17/23) ensure that all toys, toy parts, furnishings and equipment that is accessible to children less than 3 years of age is large enough to not be a choke hazard or able to be swallowed. Gel window clings were removed at the time of the inspection making them inaccessible to children. NO RESPONSE REQUIRED. Correct by 11/17/2023

Corrected Corrected by Nov 17, 2023

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

7.701.32.K · . The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 6 staff files and observed 1 staff (Ivy V.) Lacking documentation of a TRAILS 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 Ivy V. with written response to Specialist. Correct by 10/24/2023

Corrected Corrected by Oct 24, 2023

Category: background checks. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 3 child files and observed 1 child lacking 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 healthcare provider. Correct by 09/15/2023

Corrected Corrected by Sep 15, 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 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 8 children's files and observed 4 children lacking documentation of a current health statement signed by a health care provider. Correction: Provide a written statement of compliance ensuring all student files have a current health statement signed and dated by a healthcare provider in accordance with the National Pediatric Well Child Check recommended schedule that also indicates when the next visit is due. Correct by 08/27/2023

Corrected Corrected by Aug 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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 16 of staff files and observed 2 staff (Kayla A. and Amirah B) lacking a current Department-approved Safe Sleep training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (7/27/23) 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 07/27/2023

Corrected Corrected by Jul 27, 2023

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

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

The following items labeled "keep out of reach of children" accessible to children: bleach in an unlocked cabinet under the sink in the Fascination A classroom, Diaper creams in an unlocked cabinet under the changing table in Discovery C and Exploration B classroom. Correction: Immediately (7/27/23) ensure that all items labeled "keep out of reach of children" are made inaccessible to children at all times. Director locked all the cabinets at the time of the inspection. NO RESPONSE REQUIRED. Correct by 07/27/2023

Corrected Corrected by Jul 27, 2023

Category: ratio. 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.

Torn books in the Fascination C, Discovery A, Discovery C and Exploration C classrooms accessible to children posing a possible hazard. Correction: Immediately (7/27/23) ensure that all indoor and outdoor equipment, materials, and furnishings are sturdy, safe, and free of hazards. Director removed the torn books from that classrooms at the time of the inspection. NO RESPONSE REQUIRED. Correct by 07/27/2023

Corrected Corrected by Jul 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.72.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

Three Melissa & Doug puzzles labeled for children ages 2 year and over accessible to children less than 2 years of age in the Discovery B classroom. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately (7/27/23) ensure that all play equipment is appropriate for children's ages, size and developmental needs. Director removed the puzzles from the Discovery B classroom at the time of the inspection. NO RESPONSE REQUIRED. Correct by 07/27/2023

Corrected Corrected by Jul 27, 2023

Category: physical safety. 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 16 staff files and observed 7 staff (Charlotte S., Megan H., Jennifer L., Anna G., Kinara O., Ernestina B., and Amirah B) lacking documentation of a medical statement signed by a health care provider. Correction: Provide a written statement of compliance within the overall response ensuring that all the above listed staff have obtained a medical statement signed by a health care provider followed by the completion of the annual self-reported health history. Correct by 08/27/2023

Corrected Corrected by Aug 27, 2023

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

7.702.51.B.4 · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Two containers of diaper cream in the Exploration B classroom not labeled with the child's first and last name. Correction: Immediately (7/27/23) ensure that all over the counter ointments are labeled with each child's first and last name. Director labeled the containers with the child's first and last name at the time of the inspection. NO RESPONSE REQUIRED. Correct by 07/27/2023

Corrected Corrected by Jul 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.51.C.3 · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

Two tubes of sunscreen in the Fascination B classroom not labeled with the individual child's first and last name. Correction: Immediately (7/27/23) ensure that all individual sunscreens are labeled with each child's first and last names. Provide a written statement of compliance within the overall response. Correct by 07/27/2023

Corrected Corrected by Jul 27, 2023

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 16 staff files and observed 3 staff (Amirah, Megan H and Kayla A.) lacking documentation of the Department-approved training regarding child abuse prevention. Correction: Immediately (7/27/23) ensure that the program obtains and maintains current documentation of the Mandated reporter (Child Abuse Preventions and reporting) training for all staff to include the above listed staff. Provide a written statement of compliance within the overall response. Correct by 07/27/2023

Corrected Corrected by Jul 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.K · Within ninety (90) calendar days of employment, all Directors and Assistant Directors must complete the department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed 16 staff files and observed 2 staff (Charlotte S. and Megan H.) lacking the Department-approved training for Introduction to Child Health Consultation. Correction: Provide a written statement of compliance ensuring that the above listed staff have completed the Department-approved training: Introduction to Child Health Consultation. Correct by 08/27/2023

Corrected Corrected by Aug 27, 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 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 16 staff files and observed 1 staff (Mary V.) lacking documentation of the required FEMA training certificate. Correction: Immediately (7/27/23) 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 07/27/2023

Corrected Corrected by Jul 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.45.B.1.c · Prior to being assigned a group of children, the Infant Program Early Childhood Teacher must complete eight (8) hours of orientation in the infant program under the supervision of the Infant Program Supervisor. The orientation may include, but not limited to, the following topics:

Reviewed 16 staff files and observed 2 staff (Jennifer L. and Ernestina B.) working in the infant classrooms and lacking documentation of the 8 hours infant program orientation prior to being assigned a group of children. Correction: Immediately (7/27/23) ensure that all staff working in the infant classroom have completed the 8 hours infant program orientation prior to being assigned a group of children. Provide a written statement of compliance within overall response. Correct by 07/27/2023

Corrected Corrected by Jul 27, 2023

Category: supervision. Marked corrected in the state record.

7.701.32.E · . The 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 paid by check or money order (for fee assessment see Section 7.000.73).

Reviewed 16 staff files and identified 1 staff (Ernestina B.) lacking documentation of a submitted TRAILS background check. 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 and submitted the

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.