2.510.D · The maximum group size for children is thirty (30) children.

Upon arrival at 8am, observed 31 children and 2 staff members. At 8:06am, there were 34 children and 2 staff members. Correction: Max group size is 30 children. Correct immediately by 10/28/25 and submit written statement of compliance with overall response by 11/4/25. Correct by 10/28/2025

Corrected Corrected by Oct 28, 2025

Category: ratio. Marked corrected in the state record.

2.510.E · There must be one (1) staff member for each fifteen (15) children in attendance.

Upon arrival at 8am, observed 31 children and 2 staff members. At 8:06am, there were 34 children and 2 staff members. The Director was left alone with 24 children while the assistant took children to running club. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ratio is 1 staff member for every 15 children. Correct immediately by 10/28/25 and submit written statement of compliance with overall response by 11/4/25. Correct by 10/28/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Oct 28, 2025

Marked corrected in the state record.

2.510.C · There must be at least one (1) program leader providing supervision with each group of thirty (30) or fewer children cared for by the center. unless otherwise specified in rule. The program director may be the assigned staff for one (1) group of children.

An aide took 12 children to the school's running club by themselves and they are not lead qualified. Correction: There must be at least one program leader proving supervision with each group of 30 or fewer children. Correct immediately by 10/28/25 and submit written statement of compliance with overall response by 11/4/25. Correct by 10/28/2025

Corrected Corrected by Oct 28, 2025

Category: supervision. Marked corrected in the state record.

2.511.B.3.a · Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first (1st) day of care.

A child was missing a medication written on their health care plan. Correction: Any applicable medication must be available to staff prior to the child's first day of care. Correct immediately by 10/6/25 and submit written statement of compliance with overall response by 10/13/25. Correct by 10/06/2025

Corrected Corrected by Oct 6, 2025

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

2.513.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

A child's medication (inhaler) was missing a pharmacy label. Correction: Prescription medications must contain the original pharmacy label. Correct immediately by 10/6/25 and submit written statement of compliance with overall response by 10/13/25. Correct by 10/06/2025

Corrected Corrected by Oct 6, 2025

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

2.513.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Two children's over the counter medications were missing the children's first and last name written on them. Correction: Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name. Correct immediately by 10/6/25. Corrected at the time of visit by the Manager writing the children's names on the containers. No written response is required. Correct by 10/06/2025

Corrected Corrected by Oct 6, 2025

Category: health medication. 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 6 staff files and observed one staff member to be missing documentation of a CBI and 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 the staff member has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI background check clearance letters for staff member with written response to the Specialist. Correct by 10/06/2025

Corrected Corrected by Oct 6, 2025

Category: supervision. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 6 staff files and observed one staff member to be missing documentation of a Trails Child Abuse and Neglect 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 staff member has reviewed the powerpoint within 24 hours. Submit documentation of Trails background check clearance letters for staff member with written response to the

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 3 staff files and observed one staff member, Isabel S., to have an expired (10/11/24) Mandated Reporter training. Correction: Obtain documentation of a current Department approved Mandated Reporter training for the staff member whose has expired. Correct immediately by 11/7/2024 and submit written statement of compliance with overall response

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

Reviewed 3 staff files and observed 3 staff members, to be missing documentation of staff being training in fire safety and the use of available fire extinguishers. Correction: Obtain documentation of training in fire safety and the use of available fire extinguishers for the staff members missing it. Correct immediately by 11/7/2024 and submit written statement of compliance with overall response by 11/14/24. Correct by 11/07/2024

Corrected Corrected by Nov 7, 2024

Category: recordkeeping. Marked corrected in the state record.

7.712.41.L · . All staff member responsible for the collection, review and maintenance of the child immunizations records must show evidence they have completed the Colorado Department of Public Health and Environment (CDPHE) immunization course within (30) calendar days of employment. This training must be renewed annually and may count towards ongoing training requirements.

Observed the staff member responsible for the collection, review and maintenance of the children's immunization records, to not have documentation of the Department approved CDPHE Immunization training. Correction: Obtain documentation of the Department approved CDPHE Immunization training for the person responsible for the collection, review and maintenance of the children's immunization records. Correct immediately by 11/28/23 and submit written statement of compliance with overall response by 12/5/23. Correct by 11/28/2023

Corrected Corrected by Nov 28, 2023

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

7.701.100.F.2 · . 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 facility's drill log for the current school year and observed the facility to have not documented any drills this school year, starting in August 2023. Correction: All drills must be held in accordance with rule. Correct immediately by 11/28/23 and submit written statement of compliance with overall response by 12/5/23. Correct by 11/28/2023

Corrected Corrected by Nov 28, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.52.C.6 · Staff designated by the program director to give medications must complete the department-approved medication administration training and have current annual delegation or more often as determined by the Child Care Health Consultant. Delegation must be from the center’s Current Child Care Health Consultant who must observe and document the competency of each staff member involved in medication administration. All staff administering medication must have current department-approved CPR, first aid training prior to administering medication with the following exceptions:

Observed the three staff members present at the time of the inspection (Jennifer K, Corrie S and Tessa W) to all have part I of Medication Administration, but no one had documentation of part 2. Correction: Obtain documentation of part 2 of Medication Administration for the staff member responsible for giving medications. Correct immediately by 11/28/23 and submit written statement of compliance with overall response by 12/5/23. Correct by 11/28/2023

Corrected Corrected by Nov 28, 2023

Category: ratio. Marked corrected in the state record.

7.701.33.J.1.a.b.c · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 4 staff files and observed Tessa W (date of hire 10/2/23) to be missing documentation of an out of state background check clearance letter for the state of New York and observed her alone with children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Tessa W reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check clearance Letters for staff members Tessa W with written response to Specialist. Do not allow the individual unsupervised access to children. Correct by 11/28/2023

Corrected Corrected by Nov 28, 2023

Category: supervision. Marked corrected in the state record.