2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

A box on the preschool playground that children were climbing on to be more than 18 inches and missing resilient material. Correction: All climbing equipment must have at least 6 inches of resilient material, correct immediately 10/7/25. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

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

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.

Director to have an expired CDPHE immunization course. Correction: Obtain current CDPHE approved immunization course, correct by 11/7/25. Correct by 11/07/2025

Corrected Corrected by Nov 7, 2025

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ covers, or safety outlets must be installed.

Three outlets in the stem room to be missing protective outlets. Correction: All electrical outlets must have protective covers, correct immediately 10/7/25. *Corrected at time of inspection, Assistant Director covered the outlets, no response is required. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

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 11 child files and observed 4 children to be missing current health statements. Correction: Obtain current health statements for children, correct by 11/7/25. Correct by 11/07/2025

Corrected Corrected by Nov 7, 2025

Category: ratio. Marked corrected in the state record.

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

The door to the Toddler 1 room does not close. Correction: Building must be kept in a safe condition, correct immediately 10/7/25. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

Marked corrected in the state record.

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

A large ball to be in an evacuation crib in the infant room. Correction: Nothing may be stored in an evacuation crib, correct immediately 10/7/25. *Corrected at time of inspection, teacher removed ball from the crib. No response is required. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

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

2.220.E · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an at least annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

A child to have an expired authorization form for medication. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain currrent authorization form for child, correct immediately 10/7/25. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

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

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

2 bottles of sanitizer on the counter in the Preschool 1 room, 2 bottles of sunscreen on the counter in the KPrep room labeled "keep out of the reach of children". Correction: Items labeled "keep out of the reach of children" must be inaccessible to children, correct immediately 10/7/25. *Corrected at time of inspection, Director move the items to a high cabinet. No response is required. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

Marked corrected in the state record.

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

A puzzle in the Early Preschool room labeled 3+ years. Correction: Materials must be age appropriate, correct immediately 10/7/25. *Corrected at time of inspection, Director removed puzzle from the classroom. No response is required. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

Category: physical safety. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 13 staff files and observed 2 staff to be missing a health statement signed by a physician/health care worker. Correction: Obtain health statements for staff, correct by 11/7/25. Correct by 11/07/2025

Corrected Corrected by Nov 7, 2025

Category: health medication. 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 13 staff files and observed 3 staff to be missing a current department approved safe sleep training. Correction: Obtain department approved safe sleep training for staff, correct immediately 10/7/25. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

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

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 13 staff files and observed one staff to be missing a current department approved shaken baby/abusive head trauma training. Correction: Obtain a current department approved shaken baby/abusive head trauma training for staff, correct immediately 10/7/25. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

Category: recordkeeping. 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.

Reviewed 13 staff files and observed one staff member to be missing a current CPR/First Aid training or module. Correction: Obtain First Aid/CPR training or module for staff, correct by 11/7/25. Correct by 11/07/2025

Corrected Corrected by Nov 7, 2025

Category: recordkeeping. 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 13 staff files and observed one staff member to be missing a current department approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ training about child abuse prevention. Correction: Obtain a current department approved training about child abuse prevention for staff, correct by 11/7/25. Correct by 11/07/2025

Corrected Corrected by Nov 7, 2025

Category: recordkeeping. Marked corrected in the state record.

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

No staff on duty in the infant room with current CPR/First Aid training. Correction: There must be at least one staff member on duty at all times with current CPR/First Aid training in the infant room, correct immediately 10/7/25. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

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 12 staff files and observed Taylor M to be missing documentation staff has been trained in fire safety and extinguishers. Correction: Obtain documentation staff has been trained in fire safety and extinguishers, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: physical safety. 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;

In the 2's room, a unlocked cabinet under the diaper changing station to have diapers, wipes and creams. Correction: All diaper supplies must be inaccessible to children, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Marked corrected in the state record.

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 12 staff files and observed Lynzee W and Kelsey to be missing a department approved standard precautions training. Correction: Obtain a department approved standard precautions training, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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 12 staff files and observed Brooke H to be missing a department approved safe sleep training. Correction: Obtain a department approved safe sleep training, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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 12 staff files and observed Taylor M, Brooke H, and Faith C to be missing a current department approved training about child abuse prevention. Correction: Obtain a current department approved training about child abuse prevention, correct by 11/24/24. Correct by 11/24/2024

Corrected Corrected by Nov 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · 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 training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 12 staff files and observed Chelsea B (DOH 2/5/24) to be missing the department approved Introduction to the Early Intervention and Preschool Special Education training. Correction: Obtain the department approved Introduction to the Early Intevention and Preschool Special Education training, correct by 11/24/24. Correct by 11/24/2024

Corrected Corrected by Nov 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete 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 12 staff files and observed Taylor M (DOH 10/22) to be missing a department approved Working with an Early Childhood Mental Health Consultant training. Correction: Obtain a department approved Working with an Early Childhood Mental Health Consultant training, correct by 11/24/24. Correct by 11/24/2024

Corrected Corrected by Nov 24, 2024

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

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 12 staff files and observed Taylor M (DOH 10/22) to be missing the department approved Introduction to Child Care Health Consultation. Correction: Obtain the department approved Introduction to Child Care Health Consultation, correct by 11/24/24. Correct by 11/24/2024

Corrected Corrected by Nov 24, 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

Reviewed 12 staff files and observed Taylor M to be missing documentation of being trained on policies for medication administration. Correction: Obtain documentation of being trained on policies for medication administration, correct immediately 10/24/24.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

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

A bottle of disinfectant spray on the metal bar in the Preschool A room and accessible to children. Correction: Items labeled "keep out of the reach of children" must be inaccessible to children, correct immediately 10/24/24. *Corrected at time of inspection, teacher put the bottle on a high shelf. No response is required. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Marked corrected in the state record.

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

An area by the grass on the toddler playground to have a hole. Observed a sandbox cover on the toddler playground to have a large crack. Observed a cord in the 2's room to be plugged into the outlet and not plugged into a device. A pink trike on the preschool playground to be missing petals and handlebar covers. All items posing potential safety hazards. *Corrected at time of inspection, Assistant Director fixed the hole in the playground, removed the sandbox cover, unplugged the cord and removed the pink trike. No response is required. Correction: Materials must be safe and free of hazards, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: physical safety. 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 12 staff files and observed Julie K (DOH 5/23) to be missing a child abuse and neglect check (TRAILS). Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 12 staff files and observed Kelsey J (DOH 5/23) to be missing a child development training. Correction: Obtain a child development training, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: recordkeeping. Marked corrected in the state record.

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

A stuffed animal labeled 3+in the toddler room. Correction: Materials must be age appropriate, correct immediately 10/24/24. *Corrected at the time of inspection, Assistant Director took the stuffed animal out of the room. No response is required. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.216.B.1.a · The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications:

The infant program supervisor to be missing EQIT. Correction: Obtain qualifications for IPS, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: supervision. Marked corrected in the state record.

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

Diaper creams in the infant room to be missing first and last names. Correction: Obtain first and last names on diaper cream, correct immediately 10/24/24. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

7.701.54.A.1 · An agency or facility must not interfere or refuse to cooperate with a child protection investigation.

Identified through staff statements that requested parent/guardian information was not given to the appropriate agency. Correction: A facility must not interfere with agency requests, correct immediately 11/13/23. Document compliance to

Open Not marked corrected in the state record

Open / not marked corrected.

7.702.31.B.9 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: How decisions are made and what steps are taken prior to the suspension, expulsion, or request to parents or guardians to withdraw a child from care due to concerns about the child’s behavioral issues. These procedures must be consistent with the center’s policy on guidance and positive instruction, and include documentation of the steps taken to understand and respond to challenging behavior including:

Policies were not followed for the suspension, expulsion or request for parents to withdraw a child from care due to concerns about child behavioral issues prior to a child being disenrolled. Correction: Facility must follow policy regarding how decisions are made and what steps are taken prior to the expulsion of a child, correct immediately 11/13/23. Document compliance to specialist by 11/20/23. Correct by 11/13/2023 ________________________________________________ Stage II Licensing Concern : Ch2 touched Ch1 inappropriately. - UNFOUNDED Stage II Licensing Concern : Staff did not notify management of Ch1’s inappropriate behavior, staff must go through corporate legal team before making referrals - UNFOUNDED Stage II Licensing Concern : Staff is unclear about reporting policy - UNFOUNDED ________________________________________________

Corrected Corrected by Nov 13, 2023

Marked corrected in the state record.

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

A broken electrical outlet in the Stem room and a broken tray on the art easel in Preschool A, posing potential safety hazards. Correction: Materials must be safe and free of hazards, correct immediately 11/1/23. Document compliance to specialist by 12/1/23. Correct by 11/01/2023

Corrected Corrected by Nov 1, 2023

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

7.702.5.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved Child Care Health Consultant; supervision of the plan and interventions must be documented.

Staff present were not informed that there is a child in care that needs medication in the Kprep room. Correction: All staff must be informed of medications in the classroom, correct immediately 11/1/23. Document compliance to specialist by 12/1/23. Correct by 11/01/2023

Corrected Corrected by Nov 1, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 13 staff files and observed Zoe H, Brooke H, and Alyssa N to have expired standard precautions certificates. Jodi K and Tiffanie U to be missing the 2nd required signature on the certificates. Correction: Obtain current and completed standard precautions certificates for staff, correct immediately 11/1/23. Document compliance to specialist by 12/1/23. Correct by 11/01/2023

Corrected Corrected by Nov 1, 2023

Category: ratio. Marked corrected in the state record.

7.702.91.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

An electrical outlet in the KPrep room to be missing a protective cover. Correction: All electrical outlets must have protective covers, correct immediately 11/1/23. *Corrected at the time of inspection, Director placed a protective cover on the outlet. No response is required. Correct by 11/01/2023

Corrected Corrected by Nov 1, 2023

Marked corrected in the state record.

7.702.41.G · All staff members must submit to the center a medical statement, signed and dated by a physician FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 13 staff files and observed Jodi K (DOH 5.3.23), Tiffanie U (DOH 7/17/23) to be missing an health statement. Observed Tim H and Faith C to have expired annual health statements. Correction: Obtain current health/annual statements for staff, correct by 12/1/23. Document compliance to specialist by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

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

7.701.56.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/ratios posted in the Stem room and the Preschool A room. Correction: Post capacities/ratios in all rooms, correct immediately 11/1/23. Document compliance to specialist by 12/1/23. Correct by 11/01/2023

Corrected Corrected by Nov 1, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 13 staff files and observed Tiffanie U (DOH 7/17/23), Faith C (DOH 11/21) to be missing the department approved Introduction to the Early Intervention and Preschool Special Education Programs training. Correction: Obtain the department approved Introduction to the Early Intervention and Preschool Special Education Programs training, correct by 12/1/23. Document compliance to specialist by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.45.A.1 · An Early Childhood Teacher, assigned responsibility for a single group of children and working FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ under the supervision of a Director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Jodi K, Tiffani U to be working as ECT's and to be missing ECT qualifications in their files. Correction: Obtain ECT qualifications for staff, correct immediately 11/1/23 or prior to utilizing staff as ECT's. Submit documentation to specialist by 12/1/23. Correct by 11/01/2023

Corrected Corrected by Nov 1, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.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 13 staff files and observed Brooke H and Isabel M to be missing a current department approved Prevention of Shaken Baby/Abusive Head Trauma training and to be working with children under the age of 3 years. Correction: Obtain a current department approved Prevention of Shaken Baby/Abusive Head Trauma training for staff, correct immediately 11/1/23. Document compliance to specialist by 12/1/23. Correct by 11/01/2023

Corrected Corrected by Nov 1, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 13 staff files and observed Brooke H and Isabel M to be employed longer than 30 days and missing a current department approved training about child abuse prevention. Observed Tim H, Alyssa N, and Faith C to have expired training. Correction: Obtain current department approved training about child abuse prevention for staff, correct by 12/1/23. Document compliance to specialist by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, 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.

Reviewed 13 staff files and observed Tim H to be employed longer than 90 days and to be missing the department approved Recognizing the Impact of Bias on Early Childhood Professionals. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain the department approved Recognizing the Impact of Bias on Early Childhood Professionals, correct by 12/1/23. Document compliance to specialist by 12/1/23. Correct by 12/01/2023

Corrected Corrected by Dec 1, 2023

Category: recordkeeping. Marked corrected in the state record.