2.124.A.1.b · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within 24 hours of the incident.

Confirmed through staff member's statements that during the investigation, the facility did not report a reportable incident to the department. Correction: Immediately 7/16/2025, an injury to a child that requires medical attention by a health care professional must be reported in the online injury system within 24 hours of the incident. Submit a written statement of compliance by

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.209.B.1 · The center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent(s)/guardian(s).

Confirmed through staff member's statements that during the investigation, the parent(s)/guardian(s) were not provided a copy of the injury report. Correction: Immediately 7/16/2025, a written record of any illness, injury or serious accident must be retained in each child's record, with a copy provided to the parent(s)/guardian(s). Submit a written statement of compliance by 7/30/2025. Correct by 07/16/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Jul 16, 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 9 child files. All children missing an updated, written authorization for emergency medical care. Correction: Immediately, all children must have a dated, written authorization for emergency medical care that is updated annually. Submit a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

Reviewed 7 staff files. Arely is working as the assistant director and missing documentation of the Working with an Early Childhood Mental Health Consultant training. Correction: All directors and assistant directors must complete the Working with an Early Childhood Mental Health Consultant training. Submit documentation and a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

Category: health medication. 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.

Reviewed 7 staff files. Gladyss, Yasmin, and Miriam F. missing documentation of a medical statement or self-reported health history. Correction: Review all staff files. All staff must submit a medical statement within the first 30 days of employment, and subsequent self-reported health histories must be submitted annually. Submit a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 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.

Reviewed 7 staff files. Gladyss, Arely, Amalia, Yasmin, and Sugey missing documentation of an updated standard precautions training. Correction: Immediately review all staff files. All staff must have an updated standard precautions training on file and available for review at all times. Submit documentation and a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 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 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 7 staff files. Gladyss, Arely, Amalia, Yasmin, and Sugey missing documentation of an updated safe FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ sleep prevention training. Correction: Immediately review all staff files. All staff must have an updated safe sleep training on file and available for review at all times. Submit documentation and a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 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 7 staff files. Gladyss, Arely, Amalia, Yasmin, and Sugey missing documentation of an updated child abuse prevention training. Correction: Immediately review all staff files. All staff must have an updated child abuse training on file and available for review at all times. Submit documentation and a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.D.4.a · Criminal background check requests must be successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt provider homes.

Reviewed 7 staff files. Amalia missing documentation of a successful CBI background check, and Yasmin missing documentation of a successful FBI background check. Correction: Immediately review all staff files. All staff must have documentation of a successful, cleared CBI and FBI background check on file and available for review at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Amalia and Yasmin have reviewed the powerpoint within 24 hours with a written statement of compliance by 5/4/2025.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.213.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 7 staff files. Arely is working as the assistant director and missing documentation of the Introduction to Child Care Health Consultation training. Correction: All directors and assistant directors must complete the Introduction to Child Care Health Consultation training. Submit documentation and a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations 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.

Reviewed 9 child files. 4 children under the age of 2 years old missing documentation of a current health status. Correction: Review all child files. All children less than 2 years old must have an updated health status on file and available for review in accordance with the AAP. Submit a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 9 child files. 5 children over the age of 2 years old missing documentation of a current health status. Correction: Review all child files. All children over 2 years old must have an updated health status on file and available for review in accordance with the AAP. Submit a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

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

At the time of visit, in the Toddler classroom, chairs were stacked in the corner of the classroom while children were actively playing creating a safety hazard. Correction: Immediately, all indoor equipment and furnishings must be sturdy, safe, and free of hazards at all times. Corrected at time of visit, the classroom teacher unstacked the chairs bringing the classroom into compliance. No response needed. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

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

At the time of visit, in the Preschool classroom, there were several areas of peeling and chipped paint. Correction: Immediately, buildings must be kept in good repair at all times. Submit photo documentation and a written statement of compliance by 5/4/2025. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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.

At the time of visit, in the Preschool classroom, a staff purse was hanging on a low hook and was accessible to children. Correction: Immediately, all staff purses and other hazardous items must be inaccessible to children at all times. Corrected at time of visit, the classroom teacher moved the staff purse to the staff coat rack in the hallway making it inaccessible to children. No response needed. Correct by 04/04/2025

Corrected Corrected by Apr 4, 2025

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

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Confirmed through staff statements, the facility failed to report a critical incident to the Department within the required timeframes as stated in statute and licensing rules and regulations. Correction: Immediately, all critical incidents must be reported to the Department within the required time frames. Submit a written statement of compliance by 4/11/2025. Correct by 04/04/2025 ________________________________________________ Stage II Licensing Concern : A child was unsupervised in the hallway. - UNFOUNDED Stage II Licensing Concern : The facility has open stairwells accessible to children. - UNFOUNDED ________________________________________________

Corrected Corrected by Apr 4, 2025

Category: ratio. 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.

Reviewed 7 staff files. Sugey & Cynthia missing documentation of a medical statement. Correction: All staff members must submit to the center a medical statement signed and dated by a physician within 30 calendar days of employment. Submit a written statement of compliance by 7/10/2024. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

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

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 9 child files. 3 children missing documentation of a current immunization record. Correction: Immediately, all children must have current immunization records on file at all times. Submit a written statement of compliance by 7/10/2024. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

Category: health medication. 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 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 9 child files. 4 children missing documentation of a current health statement. Correction: Within 30 calendar days following the expiration date of a previous health statement, parents must submit an updated health statement or provide verification of an appointment with a health care provider. Submit a written statement of compliance by 7/10/2024. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: ratio. Marked corrected in the state record.

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

At the time of visit, in the Toddler classroom, there was peeling paint on the walls throughout the classroom which is a safety hazard for children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, all buildings must be in kept in good repair and maintained in a safe condition. Submit photo documentation and a written statement of compliance by 7/10/2024. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

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