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

In the preschool classroom there was a bottle of disinfectant spray located on a cubbie that was accessible to children. Disinfectant wipes were located in a lower cubbie near the window accessible to children. In a closet that is attached to the preschool classroom there were two large bottles of hand sanitizer located on the floor accessible to children. Correction: All items labeled "keep out of reach of children" including disinfectant spray, disinfectant wipes, and hand sanitizer must be inaccessible to children. ***Corrected at the time of the visit the staff members placed all items up high

Open Not marked corrected in the state record

Open / not marked corrected.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

In the preschool classroom there were 2 pairs of adult scissors located on a low cubbie accessible to children. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. ***Corrected at the time of the visit the staff member moved the adult scissors up high and inaccessible to children on 4/4/2025. No response required.*** Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

Marked corrected in the state record.

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

In the preschool classroom there were three cords longer than 18 inches long in the Ipad station that were accessible to children. The long cords were posing a possible safety hazard. Correction: Indoor and outdoor materials including the three cords longer than 18 inches must be sturdy, safe, and free of hazards. ***Corrected at the time of the visit the director removed all the loose cords from the ipad station on 4/4/2025. ***No response required.*** Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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.

A power cord was used at the ipad station and there was one uncovered outlet accessible to children. Correction: In rooms used by children, all electric outlets that are accessible to children must have a protective cover, or safety outlets must be installed. ***Corrected at the time of the visit the director placed a cover on the outlet on 4/4/2025. No response required.*** Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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 5 staff members files and 1 staff member Jacqueline C. was lacking a current Standard Precautions training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All staff members must complete a Standard Precautions training and renew annually. ***Corrected at the time of the visit Jacqueline C. completed the Standard Precautions training. No response required.*** Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. 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 3 children's files and all 3 children had expired written authorization for emergency medical care. Correction: A written authorization for emergency medical care must be updated annually. Correct immediately and respond with verification of compliance by 4/11/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

2.231.A.6.a · In a combination sleep/activity rooms, the sleep area must be separated by a sturdy divider from the area used for activities, and cribs must be arranged so that all infants and cribs are easily accessible to staff members.

In the infant classroom the sleep area was not separated by a sturdy divider. Correction: In a combination sleep/activity rooms, the sleep area must be separated by a sturdy divider from the area used for activites, and cribs must be arranged so that all infants and cribs are easily accessible to staff members. Correct immedaitely and respond with verification of compliance by 4/11/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

2.128.C.1 · The following documents are confidential and not available for review: Information identifying children or their families;

In the infant classroom children's first and last name were displayed on the birthday board. Correction: Ensure that all children's first and last name must be kept confidential. Correct immediately and respond with verification of compliance by 6/27/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

Marked corrected in the state record.

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

In the infant classroom there were two children a 12 month old and a 17th month old who were alseep on the ground on unapproved sleep equipment that were only used for children ages 18 months and up. Correction: Ensure that each infant up to 18 months of age and enrolled into a infant program must be provided with a crib. ***Corrected at the time of the visit the director placed the two infants into cribs.*** Respond immediately with a plan of on going compliance by 6/27/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

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

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

Reviewed 's emergency medication and there was a child's inhaler that was expired and still remained at the facility. Correction: Review and ensure that any left over or out of date medication must be give back to parents or the center must dispose of the medication. Correct immediately and respond with verification of compliance by 6/27/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

Category: health medication. 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.

There were toddlers who were 22 months to 24 months sleeping in the preschool classroom and the Preschool classroom is licensed for children ages 2.5 and 6. Correction: Ensure that rooms licensed for specific ages of children cannot be used for other ages of children including

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.233.C.1 · If the toddler program is in the same building as a facility caring for children of other ages, the toddler program must be physically separated in different rooms by walls no less than eight (8) feet and full doors.

There were toddlers who were combined in the Preschool classroom at nap time and all children were all sleep on cots. Correction: Ensure that toddlers must be physically separated in different rooms by walls no less than 8 feet and full doors. ***Corrected at the time of the visit the director moved all toddlers back to the toddler classroom.***Respond immediately with a plan of on going compliance by 6/27/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

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

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 3 children's files and 1 child over the age of 2 years old had an an expired health statement. Correction: Review and ensure that all children over the age of 2 must have a current health statement that is in accordance with the AAP schedule for routine well child exams. Correct and respond with verifications of compliance by 6/27/2024. Correct by 06/27/2024

Corrected Corrected by Jun 27, 2024

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

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

Reviewed 4 staff files and 3 staff members Jacquline, Nathaniel, and Cathy all had expired trails letters. Correction: All individuals requiring a background check must review Navigating the Background Check

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 4 staff files and 3 staff members Jacquline, Nathaniel, and Cathy all had expired FBI 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 Jacquline, Nathaniel, and Cathy have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff members Jacquline, Nathaniel, and Cathy with written response to Specialist by 6/27/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

Category: background checks. 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 4 staff files and 1 staff member Airy lacking a current Standard Precautions training. Correction: Review and ensure that all staff members must complete and renew a Standard Precautions training annually. Correct immediately and respond with verification of compliance by 6/27/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 4 staff files and 2 staff members Nathaniel and Airy were lacking current child abuse prevention training. Correction: Review and ensure that all staff members must complete and renew a child abuse prevention training annually. Correct immediately and respond with verification of compliance by 6/27/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

Category: recordkeeping. Marked corrected in the state record.

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

The kitchen was left open and accessible to children. Correction: Ensure that the kitchen must be inaccessible to children at all times. ***Corrected at the time of the visit the director places a door handle lock making the kitchen inaccessible to children. No need for written statement of compliance.*** Correct by 05/28/2024

Corrected Corrected by May 28, 2024

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