2.531.A · A written or electronic record must be maintained by the center for each staff member, and volunteer, that includes the following:

Reviewed 6 staff files and observed Hannah to be missing documentation of address and phone, emergency contact. Correction: Obtain all items needed for a staff record listed in rule 2.531.A 1-6. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

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 Vinny & Hannah to not have documentation of out of state background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Vinny & Hannah have reviewed the powerpoint within 24 hours. Submit documentation of out of state Clearance Letters) for staff members Vinny & Hannah with written response to the Specialist. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: supervision. Marked corrected in the state record.

2.507.J · Prior to working with children, each staff member must read and be trained on the center’s policies FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 Hannah to not have a signed statement that they have read and been trained on policies for medications. Correction: Obtain and maintain documentation of statement in staff file. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: ratio. Marked corrected in the state record.

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.

Reviewed facilities files and observed facility to have an expired fire inspection. (ex. 11/15/22) Correction: Obtain and maintain documentation of current approving fire inspection. Correct by 04/12/2025

Corrected Corrected by Apr 12, 2025

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

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 6 staff files and observed Hannah to not have documentation of a signed child abuse statement. Correction: Obtain and maintain documentation of statement in staff file. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.” FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 6 staff files and observed Hannah to not have documentation of a signed perjury statement. Correction: Obtain and maintain documentation of statement in staff file. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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 6 staff files and observed Hannah and Vinny to not ahve documentation of training on fire safety and the use of fire extinguishers and fire alarms. Correction: Obtain and maintain documentation of statement in staff file. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

2.507.G · Each staff member and regular volunteer as defined in rule section 2.509 must complete an annual self-reported health history. The health history must be maintained by the center in a secure location.

Reviewed 6 staff files and observed Hannah to not have documentation of current health history. Correction: Obtain and maintain documentation of current health history statement. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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

2.507.I · Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed 6 staff files and observed Hannah to not have a signed statement that they have read and been instructed on policies and procedures of the facility. Correction: Obtain and maintain documentation of statement in staff file. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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 1 staff Avery S. to not have documentation of an FBI Clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Avery has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters) for staff members Avery with written response to the Specialist. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: supervision. Marked corrected in the state record.

2.507.K · Within thirty (30) calendar days of caring for children a signed statement indicating that the individual has been trained, understands, and has had the opportunity to ask questions regarding the “Rules Regulating School-Age Child Care,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable.

Reviewed 6 staff files and observed Hannah to not have a signed statement that they have read and been trained on rules and reegulations. Correction: Obtain and maintain documentation of statement in staff file. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

Reviewed 6 staff files and observed Nikki (ex 3/5/25) and Vinny (ex 3/10/25) to have expired standard precautions trainings. Correction: Obtain and maintain current trainings in staff files. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

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 6 staff files and observed Nikki (ex. 3/6/25) and Vinny (ex 3/11/25) and Phoebe (ex 10/3/23) to FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ have expired child abuse and prevention trainings. Correction: Obtain and maintain current trainings in staff files. Correct immediately 3/12/25 and submit compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.I · Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once (1 time) and will be counted towards ongoing training requirements.

Reviewed 6 staff files and observed Nikki, Logan and Hannah all having been identified as program directors to not have documentation of Early Childhood Mental Health consultant training. Correction: Obtain and maintain documentation of training in staff files. Correct by 04/12/2025

Corrected Corrected by Apr 12, 2025

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

2.508.J · Within ninety (90) calendar days of employment, all program directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once (1 time) and will be counted towards ongoing training requirements.

Reviewed 6 staff files and observed Nikki, Logan and Hannah all having been identified as program directors to not have documentation of Child care Health consultant training. Correction: Obtain and maintain documentation of training in staff files. Correct by 04/12/2025

Corrected Corrected by Apr 12, 2025

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

2.512.B.2.a.1 · If the parent(s) or guardian(s) of a child wants a nonmedical exemption from the immunization FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ requirement based on a religious belief whose teachings are opposed to immunizations or a personal belief that is opposed to immunizations, the child’s parent(s) or guardian(s) must: Submit the certificate of Nonmedical Exemption with a signature from an immunizing provider in Colorado, or

Reviewed 4 staff files and observed a child with an exemption and not documentation of exemption on record. Correction: Obtain and maintain documentation of immunization exemption for all children enrolled. Correct immediately 3/12/25 and submit documentation of compliance by 4/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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