2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

In the MIT classroom, observed the dance teacher from an outside company alone with 6 children. Correction: All children must be directly supervised by a qualified staff member who has been assigned to the classroom. Corrected at the time of visit: Ms. Jenel stayed in the room with the dance teacher. No written response needed. Correct by 04/16/2025

Corrected Corrected by Apr 16, 2025

Category: supervision. 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.

In the Cornell toddler room, observed two Melissa and Doug latch puzzles with a manufacture label of 3+, on a shelf accessible to all children. Correction: Toys with a label 3+ must not be accessible to children under the age of 3. Corrected at the time of visit: Lindsey removed puzzles to the office area. No written response needed. Correct by 04/16/2025

Corrected Corrected by Apr 16, 2025

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 the drill log, identified tornado drill was not conducted for the month of March 2025. Correction: Tornado drills must be conducted and logged for the months of March - October. Submit a written statement of compliance to the Specialist. Correct by 04/16/2025

Corrected Corrected by Apr 16, 2025

Category: recordkeeping. 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.

Outside on the playground the Cornell and MIT classrooms were on the playground with 23 children. All children were 2.5-6 years of age. Correction: Maximum group size must be maintained at tall times. Corrected at the time of visit: MIT classroom went inside. No written response needed. Correct by 04/16/2025

Corrected Corrected by Apr 16, 2025

Category: ratio. 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 10 children files, identified 5 children with expired signatures and dates for emergency medical authorization. Correction: Obtain current signature and date for emergency medical authorization for all children. Submit a written statement of compliance to the Specialist. Correct by 06/18/2024

Corrected Corrected by Jun 18, 2024

Category: health medication. 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 13 staff files, identified Maria R. and Marilyn G. missing current prevention of child abuse training. Correction: Obtain the Department approved prevention of child abuse training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.219.B.2 · 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 10 children files, identified one child missing their health appraisal (enrollment date of 12/2023), one child with an expired health appraisal (enrollment date of 12/4/23) and one child missing the subsequent date on their health appraisal (enrollment date of 4/6/22). Correction: Obtain current health evaluations for all children. Submit a written statement of compliance to the Specialist. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

Category: ratio. Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

In Cornell classroom, in an unlocked cabinet under the changing table, diapers, wipes and creams were accessible to children. Correction: All diaper supplies must be inaccessible to all children. Corrected at the time of visit: Jenel locked the cabinet. No written response required. Correct by 06/18/2024

Corrected Corrected by Jun 18, 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.

In the Princeton infant room, per attendance log: 9 children signed in with 8 children in attendance. This was previously cited on 4/11/2024. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Children must be signed in and verified at arrival and departure. Corrected at the time of visit: Lyndsey signed child out. Lyndsey stated she witnessed child leave for the day. No written response required. Correct by 06/18/2024

Corrected Corrected by Jun 18, 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 door was open and accessible to children. Correction: The kitchen door must be closed during business hours, making this inaccessible to children. Corrected at the time of visit: Lyndsey closed the kitchen door. No written response required. Correct by 06/18/2024

Corrected Corrected by Jun 18, 2024

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

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.

Per ch1's individual care plan and review of brightwheels documentation, ch1 did not receive meals or snacks at correct time. Correction: Facility must follow children's individual care plan. Submit a written statement of compliance to the Specialist. Correct by 04/11/2024 Stage II Licensing Concern : RP witnessed a puddle of liquid by the refrigerator in the infant room. - FOUNDED

Corrected Corrected by Apr 11, 2024

Marked corrected in the state record.

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

Upon entering the infant room, Licensing Specialists observed the small Brio water tank with liquid in front and on the side. This is posing a potential hazard to staff and children. Correction: Indoor equipment must be free of hazards. Corrected at the time of visit: Jenel removed water tank to the hallway inaccessible to children. No written response needed. Correct by 04/11/2024 ________________________________________________ Stage II Licensing Concern : RP stated Ch1 was left in a dirty diaper for 4-7 hours on several occasions - UNFOUNDED Stage II Licensing Concern : RP stated they witnessed older children in the infant classroom - UNFOUNDED Stage II Licensing Concern : RP stated Ch1 was given another child's breast milk. Ch1 was given food they had not tried before. RP stated infant room is kept at 50 degrees'. - UNFOUNDED Stage II Licensing Concern : RP believes staff are not qualified - UNFOUNDED Stage II Licensing Concern : RP stated ratio is 1:11 with 13 children in attendance. - UNFOUNDED ________________________________________________

Corrected Corrected by Apr 11, 2024

Category: physical safety. 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.

In infant room, per attendance log: 7 children signed in with 9 children in attendance. Correction: Children must be signed in and verified at arrival and departure.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

In infant room, observed outlet uncovered with the cover on top of water tank. Correction: All outlets in classrooms or accessible to children must have protective covers. Corrected at the time of visit: Jenel put cover in outlet. No written response needed. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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.

In both infant rooms, observed small clips on birthday board, small foam pieces on board and cotton on the bunnies on the window. In the toddler room, mini clips on birthday board and uncovered or secure staples. All posing a potential chocking hazard. Correction: Materials in classrooms under the age of 3 must not pose a potential chocking hazard if inhaled. Submit a statement of compliance to the Specialist. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

2.238.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of doors. All door hardware must be within the reach of children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In both infant rooms, gates attached inside door. Preventing free and unobstructed egress. Correction: Only single action hardware is permitted on doors. Corrected at the time of visit: Jenel removed gates. No written response needed. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

In 2nd infant room, observed baby bops in evacuation crib. Correction: Nothing may be stored in any evacuation equipment. Corrected at the time of visit: Jenel removed baby bops to the play area. No written response needed. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

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

In Cornell toddler room, observed hand sanitizer on the counter. Outside on the table observed a container with small bands and hand sanitizer within reach of children. In Preschool room, sunscreen was on a shelf by the door. All had a manufacture label of keep out of reach. Correction: All items labeled 'keep out of reach' must be inaccessible to all children. Corrected at the time of visit: Jenel removed all items to a secure area. No written response needed. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

Marked corrected in the state record.

2.220.G.2 · When away from the classroom, staff assigned to supervise the child must carry the emergency medication.

Specialist observed emergency medication in a room while children were on the playground. Child who's medication was prescribed to, was in attendance. Correction: Emergency medication must be with child while away from the classroom. Corrected at the time of visit: Jenel took medication outside with child.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 3 staff files, identified one staff member with an expired 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 staff member has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letterfor staff member with written response to Specialist. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

Category: background checks. 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 3 staff files, identified one staff member with an expired FBi clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letter for staff member with written response to Specialist. Correct by 04/11/2024

Corrected Corrected by Apr 11, 2024

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

7.702.41.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.

Reviewed 10 former employee files, identified two had letters of verification, one was missing the break down of hours from Infant/Toddler and Preschool. All files viewed on computer were missing the breakdown of hours for infant/toddlers and preschool. Correction: Provide letters of verification to former employee's with correct break down. Submit a statement of compliance to the Specialist. Correct by 12/27/2023

Corrected Corrected by Dec 27, 2023

Marked corrected in the state record.

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

In Cornell classroom, on sink there was a bottle labeled sanitizer with bleach. This was accessible to children. Correction: Immediately on 11/27/2023, items labeled keep out of reach must be inaccessible to children. Corrected at the time of visit: Jenel removed bottle to a shelf out of reach. No response needed. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

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

Door to the hallway from the Princeton infant room to be open. Correction: If the infant program is in the same building as the facility caring for children of other ages, the infant program

Open Not marked corrected in the state record

Open / not marked corrected.

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 6 children's records and observed 1 child to be lacking documentation of current health statement( expired 4/15/23) Correction: Obtain documentation of current health statement and add to child's records. Correct by 08/10/2023

Corrected Corrected by Aug 10, 2023

Category: ratio. Marked corrected in the state record.