Alliance Program by YPLC

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

toys and miscellaneous items being stored in the evacuation crib in the pea pods classroom. Correction: Ensure that nothing is stored in the evacuation cribs at any time. Correct immediately 6/4/26. ***Corrected at time of visit. No response is required. Correct by 06/04/2026

Corrected by Jun 4, 2026

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.

Reviewed 4 staff files and observed 1 staff to have first aid and CPR by an unapproved vendor. Correction: Obtain and maintain documentation of current training. Correct immediately 6/4/26 and submit compliance by

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 4 staff files and observed 1 staff member to not have documentation of a current healt hstatement within 1 month of hire. Correction: Obtain and maintain documentation of current health statement for staff within 1 month of hire. Correct by 07/04/2026

Corrected by Jul 4, 2026

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

reviewed 4 staff files and observed none of the staff to have a current building and physical premises training for the new building. Correction: Obtain and maintain documentation that staff have been trained on the building and physical premises for the new facility. Correct immediately 6/4/26 and submit compliance by 7/4/26. Correct by 06/04/2026

Corrected by Jun 4, 2026

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 observed 1 staff to not have documentation of current standard precautions training. Correction: Obtain and maintain documentation of current training. Correct immediately 6/4/26 and submit compliance by 7/4/26. Correct by 06/04/2026

Corrected by Jun 4, 2026

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 4 staff files and observed 1 staff to not have documentation of current shaken baby/abusive head trauma training. Correction: Obtain and maintain documentation of current training. Correct immediately 6/4/26 and submit compliance by 7/4/26. Correct by 06/04/2026

Corrected by Jun 4, 2026

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.

no capacities and ratios to be posted in the classrooms. Correction: Capacities and ratios must be posted in each classroom being used for the care of children. Correct immediately 6/4/26 and submit compliance by 7/4/26. Correct by 06/04/2026

Corrected by Jun 4, 2026

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Reviewed 4 staff files and observed 2 staff to not have documentation of 15 hours of ongoing training for the past year. Correction: Ensure all staff have a miniumum of 15 clock hours of training including 3 hours of social emotional development. Correct immediately 6/4/26 and submit compliance by 7/4/26. Correct by 06/04/2026

Corrected by Jun 4, 2026

2.216.B.2.a · In the infant program, there must be a qualified infant program supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual qualified as an infant early childhood teacher must be responsible during the remaining time.

Identified that the director is also listed as the IPS and is not in the classroom at least 60% of the day. Correction: Ensure that the IPS is present in the room at least 60% of the day. Correct immediately 6/4/26 and submit compliance by 7/4/26. Correct by 06/04/2026

Corrected by Jun 4, 2026

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children.

Upon arrival the pea pods classroom had 1 staff with 6 children while the second staff member was in the bathroom. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure that a ratio of 1-5 is kept at all times. Correct immediately 6/4/26 and submit plan of compliance by 7/4/26. Correct by 06/04/2026

Corrected by Jun 4, 2026

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.

small clothes pins being used for artwork in the sweet peas classroom that pose a choking hazard to children under 3. Correction: Ensure that all equipment accessible to children under the age of 3 does not pose a choking hazard to children. Correct immediately 6/4/26. ***Corrected at time of visit by making inaccessible to children. No response is required. Correct by 06/04/2026

Corrected by Jun 4, 2026

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 3 child files and observed one child to be missing an up to date health statement. Correction: Obtain current health statement for child, correct by 2/22/25. Correct by 02/22/2025

Corrected by Feb 22, 2025

2.217.C.4 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

No Child Care Health Consultation notes were available to review from 9/2023 to 11/2024. Correction: Monthly consultation notes must be maintained by the program, correct by 2/22/25. Correct by 02/22/2025

Corrected by Feb 22, 2025

2.223.C.17 · If music is played in the infant sleep area, the music must not be played at a loud volume that would prevent infants from being heard by staff. Music equipment must not be placed under a crib or within three (3) feet of the sleeping infant.

A sound machine playing music to be within 1 foot of a sleeping infant. Correction: Music must be placed at least 3 feet of the sleeping infant, correct immediately 1/22/25. *Corrected at time of inspection, Director moved the sound machine to be 3 feet away from the sleeping infant. No response is required. Correct by 01/22/2025

Corrected by Jan 22, 2025

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

Several pieces of ice melt on the floor in the infant room, accessible to children. Correction: Items "keep out of reach of children" must be inaccessible to children, correct immediately 1/22/25. *Corrected at time of inspection, Director cleaned up the ice melt. No response is required. Correct by 01/22/2025

Corrected by Jan 22, 2025

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 6 staff files and observed Bri and Jacklen to be missing documentation they have been trained in fire safety and extinguishers. Correction: Obtain documentation staff have been trained in fire safety and extinguishers, correct immediately 1/22/25. Correct by 01/22/2025

Corrected by Jan 22, 2025

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 6 staff files and observed Anna, Jacklen and Quinn to be missing the 2nd required signature on the department approved standard precautions training certificate. Correction: Obtain completed certificate, correct immediately 1/22/25. Correct by 01/22/2025

Corrected by Jan 22, 2025

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 6 staff files and observed Anna (DOH 11/10/24) and Geneva (DOH 8/1/24) to be missing a health statement. Correction: Obtain health statements for staff, correct by 2/22/25. Correct by 02/22/2025

Corrected by Feb 22, 2025

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 6 staff files and observed Bri and Quinn to be missing a department approved training about child abuse prevention. Correction: Obtain a department approved training about child abuse prevention for staff, correct by 2/22/25. Correct by 02/22/2025

Corrected by Feb 22, 2025

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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 3 child files and observed one child to have immunizations not on a CDPHE approved form. Correction: Obtain immunizations on a CDPHE approved form, correct by 2/22/25. Correct by 01/22/2025

Corrected by Jan 22, 2025

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 6 staff files and observed Bri to be missing a 5 year updated clearance letter for TRAILS. 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) for staff member with written response to the Specialist. Correct by 01/23/2025

Corrected by Jan 23, 2025

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 6 staff files and observed Bri to be missing a 5 year 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) for staff member with written response to the Specialist. Correct by 02/22/2025

Corrected by Feb 22, 2025

2.120.C.2 · 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: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Reviewed 6 staff files and observed Anna (DOH 11/10/24) to be missing a child abuse and neglect check FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ (TRAILS). 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) for staff member with written response to the Specialist. Correct by 01/23/2025

Corrected by Jan 23, 2025

2.121.J.1 · 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-age child care facilities, family child care homes, and qualified exempt provider homes:

Reviewed 6 staff files and observed Jacklen to be missing an out of state 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 (Out of State Clearance Letters) for staff member with written response to the Specialist. Correct by 01/23/2025

Corrected by Jan 23, 2025

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

No drill log was available to review. Correction: Emergency drills must be documented and completed according to rule, correct immediately 1/22/25. Correct by 01/22/2025

Corrected by Jan 22, 2025

2.216.B.1.c.1 · Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. The orientation may include, but not limited to, the following topics: Toys and equipment, appropriate activities for infants and toddlers, appropriate sleep positions for infants and toddlers, and the safe and appropriate diaper change technique.

Reviewed 6 staff files and observed 5 staff working in the infant room to be missing an 8 hour infant orientation. Correction: Obtain 8 hour orientation for all staff, correct immediately 1/22/25. Correct by 01/22/2025

Corrected by Jan 22, 2025

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

Reviewed 6 staff files and observed Bri, Quinn and Jacklen to be missing documenation staff have been trained in medication policies for the program. Correction: Obtain documenation staff have been trained in medication policies for the program, correct immediately 1/22/25. Correct by 01/22/2025

Corrected by Jan 22, 2025

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 5 staff files and observed Macie W (DOH 8/14/23) to be missing a health statement. Correction: Obtain health statement for staff, correct by 3/1/24. Document compliance to specialist by 3/1/24. Correct by 03/01/2024

Corrected by Mar 1, 2024

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 3 child files and observed one child to be missing a current health statement. Correction: Obtain health statement for child, correct by 3/1/24. Document compliance to specialist by 3/1/24. Correct by 03/01/2024

Corrected by Mar 1, 2024

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Bri B. to have an expired CDPHE approved immunization course. Correction: Obtain a current CDPHE approved immunization course, correct by 3/1/24. Document compliance to specialist by 3/1/24. Correct by 03/01/2024

Corrected by Mar 1, 2024

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed 5 staff files and observed Macie W (DOH 8/14/23) to be missing a deparment approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ emergency disaster preparedness training. Correction: Obtain a deparment approved emergency disaster preparedness training for staff, correct immediately 2/1/24. Document compliance to specialist by 3/1/24. Correct by 02/01/2024

Corrected by Feb 1, 2024

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 files and observed Bri B to have an expired and Quinn A to be missing a department approved standard precautions training. Correction: Obtain department approved standard precautions training for staff, correct immediately 2/1/24. Document compliance to specialist by 3/1/24. Correct by 02/01/2024

Corrected by Feb 1, 2024

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 5 staff files and observed Bri B. to have an expired department approved safe sleep training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain current safe sleep training for staff, correct immediately 2/1/24. Document compliance to specialist by 3/1/24. Correct by 02/01/2024

Corrected by Feb 1, 2024

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 5 staff files and observed Bri B to have expired department approved shaken baby/abusive head trauma training. Correction: Obtain a department approved shaken baby/abusive head trauma training, correct immediately 2/1/24. Document compliance to specialist by 3/1/24. Correct by 02/01/2024

Corrected by Feb 1, 2024

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.

Upon arrival, observed 3 children over the age of 18 months in the infant room. Correction: Rooms licensed for specific ages cannot be used for other ages of children, correct immediately 2/1/24. Document compliance to specialist by 3/1/24. Correct by 02/01/2024

Corrected by Feb 1, 2024

2.216.C.2 · Staff aides must be at least sixteen (16) years of age, must work directly under the supervision of the director or a toddler early childhood teacher, and must have completed eight (8) hours of orientation at the toddler program.

Macie W to be missing an 8 hour toddler orientation. Correction: Obtain and 8 hour toddler orientation for staff, correct immediately 2/1/24. Document compliance to specialist

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.

2 small magnets on a dry erase board in the toddler room, posing a potential choking hazard. Correction: Materials accessible to children under the age of 3 must not be a choking hazard, correct immediately 2/1/24. *Corrected at the time of inspection, teacher threw magnets away. No response is required. Correct by 02/01/2024

Corrected by Feb 1, 2024

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

Loose cords hanging down by a crib in the infant room and by the sensory board in the toddler room. Observed mats on a counter in the toddler room. All items posing a potential safety hazard. Correction: Materials must be safe and free of hazards, correct immediately 2/1/24. Document compliance to specialist by 3/1/24. Correct by 02/01/2024

Corrected by Feb 1, 2024

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

No fire inspection was available to review. Correction: Obtain current fire inspection, correct by 3/1/24. Document compliance to specialist by 3/1/24. Correct by 03/01/2024

Corrected by Mar 1, 2024

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.

No documentation of drills was available to review. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Emergency drills must be conducted according to rule and documented, correct immediately 2/1/24. Document compliance to specialist by 3/1/24. Correct by 02/01/2024

Corrected by Feb 1, 2024

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 5 staff files and observed Bri B to be missing a 5 year child abuse and neglect check (TRAILS). 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) for staff member with written response to Specialist. Correct by 02/02/2024

Corrected by Feb 2, 2024

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.

Bri B to be missing a 5 year FBI check (7/6/16) Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members X, Y, and Z have reviewed the powerpoint within 24 hours. Submit documentation of (FBI) for staff member with written response to Specialist. Correct by 02/02/2024

Corrected by Feb 2, 2024