2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

The preschool #3 room did not have the staff to child ratio, nor the capacity of the room posted. Correction: Ensure that all rooms have the required staff to child ratio posted. **CORRECTED ON SITE** On 8/28/2025 a staff member printed and posted the capacity and ratio for preschool #3 room. No written response is required for this violation Correct by 08/28/2025

Corrected Corrected by Aug 28, 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;

1 of 8 child files reviewed did not have a current signed medical authorization form Correction: Ensure that all enrolled children have an authorization for emergency medical care that is updated annually. Document compliance to the licensing specialist in the written response. Correct by 08/28/2025

Corrected Corrected by Aug 28, 2025

Category: health medication. 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.

1 of 24 staff files reviewed did not have a current Standard Precautions Training. Correction: Ensure that all staff complete annually the required standard precautions training. Document compliance to the licensing specialist in the written response. Correct by 08/28/2025

Corrected Corrected by Aug 28, 2025

Category: recordkeeping. 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;

Disinfectant bottles hanging off of the side of the chanding table in the preschool #2 room, which were within reach of the children. Correction: Ensure there is a place inaccessible to children where diaper changing supplies can be stored. **CORRECTED ON SITE** On 8/28/2025 a staff member removed the disinfectant bottles to a surface inaccessible to the children. No written response is required for this violation. Correct by 08/28/2025

Corrected Corrected by Aug 28, 2025

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 preschool #3 room there were googley eyes in an unlocked cabinet. In the preschool #2 room there were small letter magnets on the heater. These items pose a choking hazard for children under 3 years old. Both classrooms are licensed for children under 3. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure that all items that pose a choking hazard are not accessible to children under 3 years of age. **CORRECTED ON SITE** On 8/28/25 a staff member removed these items from their respective classrooms making them inaccessible to children younger than 3. No written response is required for this violation. Correct by 08/28/2025

Corrected Corrected by Aug 28, 2025

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

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

A backpack belonging to a staff member was found in a closet accessible to children in the preschool #2 room. Correction: Ensure that all personal items of staff members are made inaccessible to children. ** CORRECTED ON SITE** On 8/28/2025 a staff member locked the door where the staff bag was located making it inaccessible to children. No written response is required for this violation. Correct by 08/28/2025

Corrected Corrected by Aug 28, 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.

In the toddler B room an outlet did not have a cover. Correction: Ensure all outlets are occupied by a plug or have a protective cover. **CORRECTED ON SITE** On 8/28/2025 a staff member plugged in a fan that had been unplugged, making the outlet inaccessible to the children. No written response is required for this violation. Correct by 08/28/2025

Corrected Corrected by Aug 28, 2025

Marked corrected in the state record.

2.129.A.3 · Each licensed child care facility shall maintain records as required by the Department pertaining to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the admission, progress, health, and discharge of children in care at the facility. All information regarding children and their families shall be kept confidential.

In the shared hallway there were photos of students with their first and last names. In the preschool #1 room there was an attendance sheet with first and last names of enrolled children Correction: Ensure that all information that identifies children or their families are kept confidential. Document compliance to the licensing specialist in the written response. Correct by 08/28/2025

Corrected Corrected by Aug 28, 2025

Category: health medication. 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.

the CPR training certifications for Mariana C., and Maritza L. were expired. Correction: Staff caring for children and not required by rule to be certified in First Aid/CPR must complete the Introduction to First Aid and CPR training module. Complete course and add to staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.137.A · All child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include:

The following policies to be incomplete or missing from the parent handbook: a written plan for continuity of operations after an emergency or disaster. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Add the missing/incomplete policies to the "statement of policies and procedures" (parent handbook), and make it available to parents. Send a copy of the updated policy statement to the Licensing Specialist with the written response. Correct by 11/13/2024

Corrected Corrected by Nov 13, 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;

spray bottles labeled "disinfectant" and "sanitizer" were hanging off of the side of the changing tables and were within reach of the children in the following rooms: Toddler A. Toddler B. Correction: Store all diaper changing supplies in an area that is inaccessible to children. **This violation was corrected at the time of inspection.** A staff member moved the spray bottles to a shelf and made them inaccessible to children. No written response is required for this violation. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Marked corrected in the state record.

2.212.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.

expired self-reported health histories for the following employees: Mariana C., Liliana P., Cecilia R., Maritza L., Christina B., and Aliana. Correction: Each staff member must submit annually a self-reported health history which must be kept on file for review. **This violation was corrected at the time of inspection** Director obtained current self-reported health history for previously named staff. No written response is necessary for this violation. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

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

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

no records of staff training on medication administration policies and procedures. Correction: All providers/staff of a child care facility must be trained on the center's policies and procedures for the administration of medications. Obtain signed documentation that each staff member has completed this training course and add it to staff file. Document compliance with the written response. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Category: ratio. Marked corrected in the state record.

2.213.I · 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 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.

there was no record that Stephanie R. had completed the Recognizing the Impact of Bias training module. Correction: All staff must complete the Recognizing the impact of Bias on Early Childhood Professionals training course. Add the certificates of completion to each staff file. Send a copy of the training certificates for staff mentioned above to the Licensing Specialist. Document compliance with the written response. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: recordkeeping. Marked corrected in the state record.

2.136.A · All child care providers must have a written plan that accounts for children with disabilities as defined in 42 U.S.C. Section 12102 and those with access and functional needs as defined in the State Emergency Operations Plan (2019) (SEOP). The State Emergency Operations Plan (SEOP) is hereby incorporated by reference. No later editions or amendments are incorporated. The State Emergency Operations Plan (SEOP) is available for public inspection and copying at the Colorado Department of Early Childhood at 710 S. Ash St., Bldg. C, Denver, CO 80246 during regular business hours. The State Emergency Operations Plan (SEOP) is also available for no cost from the Colorado Division of Homeland Security & Emergency Management at https://www.colorado.gov/pacific/dhsem/state-eop. The plan must include a specific requirement indicating how all children with special needs will be included in the emergency plan.

The following policies to be incomplete or missing from the parent handbook: a written emergency plan that accounts for children with disabilities. Correction: Add the missing/incomplete policies to the "statement of policies and procedures" (parent handbook), and make it available to parents. Send a copy of the updated policy statement to the Licensing Specialist with the written response. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Category: ratio. Marked corrected in the state record.

2.230.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.

2 broken sleds with sharp plastic edges were found on the the Preschool playground. One broken truck with sharp cracked wheels was found on Toddler #2 playground. Correction: All outdoor play space must be free from safety hazards. **This violation was corrected at the time of inspection** Staff members removed the sleds and the broken truck from the playground. No written response is required for this violation. Correct by 11/13/2024

Corrected Corrected by Nov 13, 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.

Items labeled 'Keep Out of Reach of Children' were accessible to children in the Preschool 2 classroom, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ including Bar Keepers Friend in the unlocked sink cabinet and Fabuloso in the unlocked storage room. Correction: Items labeled 'Keep Out of Reach of Children' must be inaccessible to children. **This violation was corrected at the time of inspection.** Provider latched the lock on the storage room and latched the child lock on the bottom cabinet. No response is required for this violation. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

Marked corrected in the state record.

2.206.B.16 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for releasing children from the center only to persons for whom the center has written authorization and the procedure for picking-up the child during an emergency;

the current "statement of policies and procedures" incorrectly suggests that staff can deny a parent access to their child based on perceived intoxication. Correction: Programs are unable to deny a parent access to their child without prior court orders. Update the "statement of policies and procedures" (parent handbook) to reflect this information. Make the updated policies available to the parents. Send a copy of the updated policy statement to the Licensing Specialist with the written response Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Marked corrected in the state record.

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Thumb tacks, a potential choking hazard, were accessible to children in Preschool 2 classroom. Correction: Thumb tacks must not be used in areas accessible to children less than three years of age. **This violation was corrected at the time of inspection** A staff member removed the thumb tacks form the room and made them inaccessible to children. No written response is required for this violation Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

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

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

2 of 10 child files reviewed had expired health statements. Correction: Obtain documentation of current health statement and add to child's file. Document compliance with the written response. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: ratio. Marked corrected in the state record.

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

a broken hinge on a lower cabinet was broken, causing the door to hang off of the remaining hinge. Correction: Indoor furnishings must be sturdy, safe, and free of hazards. Correct immediately and/or before children have access to this area. Document compliance to the Licensing Specialist with the written response. Correct by 11/13/2024

Corrected Corrected by Nov 13, 2024

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

7.702.63.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 interview with staff, parents are not required to provide a written individualized diet and feeding schedule for infants. Correction: Immediately ensure an individualized diet and feeding schedule is provided according to a written plan submitted by the parent. Ensure a change of diet and schedule is noted on each child's daily activity schedule and posted in an area clearly visible to staff. Correct by 08/08/2023

Corrected Corrected by Aug 8, 2023

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.

Identified there were two children under the age of 3 years old present in the Preschool 2 classroom today. Observed a few broken crayons in a small basket on a low wooden shelf accessible to children in the Preschool 2 classroom. These broken crayons fit inside a choke tube. Correction: Corrected at the time of the inspection when the Director moved these choke hazards to an area inaccessible to children. Correct by 08/08/2023

Corrected Corrected by Aug 8, 2023

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

7.702.51.B.1 · 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 childcare.

Identified through discussion with the Infant Program Supervisor (IPS), CH1 has arrived at center with medication already mixed in a bottle. Identified this has happened a few times a week for the past two weeks and IPS is not aware of what medication parent mixed in CH1's bottle. Observed no evidence of a current written order from health care provider and written parental consent for CH1 to have medication. Correction: Immediately ensure to obtain written parental consent and a current written order from a health care provider with prescriptive authority for any medication given to child while in care at the program. Correct by 08/08/2023

Corrected Corrected by Aug 8, 2023

Category: supervision. Marked corrected in the state record.

7.702.51.B.3 · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Identified CH1 has arrived at the center a few times in the past few weeks with medication already mixed into CH1's bottle. Identified CH1 is offered this bottle while at the center. Correction: Immediately ensure all medication is kept in the original labeled bottle or container. Correct by 08/08/2023

Corrected Corrected by Aug 8, 2023

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

7.702.5.C.3 · For a child with special health care needs requiring intervention and/or medication, the center must obtain written instructions for providing services from the child's parent(s)/guardian(s), and the health care provider. If an existing individualized health care plan is provided for the child, it must be reviewed and followed by the center staff when caring for the child. If the child does not have an existing individualized health care plan, the individualized health care plan must be obtained by the child’s first day of care.

Reviewed a health care plan for an epi pen for a child in the Preschool 3 classroom. Identified health care plan indicates when over the counter medication (Zyrtec) should be administered to child. Identified staff do not have Zyrtec medication on hand as required by this health care plan. Correction: Immediately obtain medication required as outlined in the health care plan to ensure staff can follow the health care plan provided for child. Correct by 08/08/2023

Corrected Corrected by Aug 8, 2023

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

7.702.41.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Identified staff knowingly provide CH1 bottle without knowing what kind or dosage of medication was already mixed into CH1's bottle. Correction: Immediately ensure all staff at the center demonstrate knowledgeable decision-making, judgment and concern for the proper care and well-being of children. Correct by 08/08/2023

Corrected Corrected by Aug 8, 2023

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