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 21 staff files and observed 3 staff (Jennifer P, Nicki F, Kathryn P) to not have documentation of Emergency & Disaster preparedness training prior to working with children. Correction: Obtain and maintain documentation of training. Correct immediately 2/6/25 and submit compliance by 3/6/25. Correct by 02/06/2025

Corrected Corrected by Feb 6, 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 12 children's files and observed 1 expired emergency medical authorization and 3 missing signed authorizations. Correction: Obtain and maintain current emergency medical authorization forms for all children with expired or missing statements. Correct immediately 2/6/25 and submit compliance by 3/6/25. Correct by 02/06/2025

Corrected Corrected by Feb 6, 2025

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 21 staff files and observed 4 staff to not have current child abuse and prevention training. (Jess C, Ellie H, Kathryn P, Sara R) Correction: Obtain and maintain documentation of training. Correct immediately 2/6/25 and submit compliance by 3/6/25 Correct by 02/06/2025

Corrected Corrected by Feb 6, 2025

Category: recordkeeping. 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 12 children's files and observed 1 child with an expired health statement and 1 missing a health statement. Correction: Obtain and maintain documentation of current health statements for all children with missing and expired statements. Correct by 03/06/2025

Corrected Corrected by Mar 6, 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 21 staff files and observed 8 staff to not have a health statement within 30 days of hire. (Nicki F, Jane L, Wendy V, Michelle B, Ellie H, Jubilee L, Kathryn P, Sara R) Correction: Obtain and maintain documentation of a health statement within 30 days of hire. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: health medication. 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 21 staff files and observed 4 staff to not have first aid and CPR or the department approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ module and one with an expired training. (Nicki F, Felicia F, Jane L, Ellie H, Kathryn P) Correction: Obtain and maintain documentation of training. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

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.

Reviewed 21 staff files and observed 5 staff to not have early intervention training within 90 days of hire. (Jennifer P, Nicki F, Jane L, Michelle B, Kathryn P) Correction: Obtain and maintain documentation of training. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.I · 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 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 21 staff files and observed 5 staff to not have Bias training within 90 days of hire. (Jennifer P, Nicki F, Jane L, Michelle B, Kathryn P) Correction: Obtain and maintain documentation of training. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 21 staff files and observed 6 staff to not have documentation of child development training within 90 days of hire. (Jennifer P, Jessica S, Michelle B, Carolyn H, Kathryn P, Sara R) Correction: Obtain and maintain documentation of training. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. 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 21 staff files and observed 4 staff to not have documentation of current standard precautions. (Jess C, Ellie H, Kathryn P, Sara R) Correction: Obtain and maintain documentation of training. Correct immediately 2/6/25 and submit compliance by 3/6/25 Correct by 02/06/2025

Corrected Corrected by Feb 6, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 21 staff files and observed 7 staff to not have documentation of out of state background information. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Wendy, Claire, Michelle, Jubilee, Kathryn, Jennifer P, & Jane have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff members Wendy, Claire, Michelle, Jubilee, Kathryn, Jennifer P, & Jane with written response to the Specialist. Correct by 02/06/2025

Corrected Corrected by Feb 6, 2025

Category: supervision. 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 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 12 children's files and observed 8 children to have documentation of immunizations but not on the CDPHE approved form. Correction: Transfer immunizations to the CDPHE approved form and maintain in child's file. Correct immediately 2/6/25 and submit compliance by 3/6/25. Correct by 02/06/2025

Corrected Corrected by Feb 6, 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.

dove soap, vaseline and wipes in classroom 6 all accessible to children in cubbies. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all keep out of reach of children items are inaccessible to children at all times. Correct immediately 2/6/25. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 02/06/2025

Corrected Corrected by Feb 6, 2025

Marked corrected in the state record.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Scissors accessible to children on a low shelf in room 7. Correction: Ensure all sharp tools are inaccessible to children at all times. Correct immediately 2/6/25. ***Corrected at time of visit by making inaccessible. No response is required. Correct by 02/06/2025

Corrected Corrected by Feb 6, 2025

Marked corrected in the state record.

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 21 staff files and observed 7 staff to not have documentation of 15 hours of training for the 2023-2024 school year. (Sara R, Nicki F, Felecia F, Mahya E, Enrriqueta B, Gigi V, Kiana E) Correction: Obtain and maintain documentation of 15 hours of annual training for staff during each school year. Correct by 03/06/2025

Corrected Corrected by Mar 6, 2025

Category: recordkeeping. Marked corrected in the state record.

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 21 staff files and obseved 1 staff Claire R. To need an updated Trails clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Claire have reviewed the powerpoint within 24 hours. Submit documentation of updated trails clearnace letter for

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

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 21 staff files and observed 5 staff to need documentation of FBI Clearance letters. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Wendy, Claire, Jubilee, Kathryn, Jennifer P, have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff members All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Wendy, Michelle, Jubilee, Kathryn, Jennifer P,have reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff members Wendy, Michelle, Jubilee, Kathryn, Jennifer P, with written response to the Specialist. with written response to the Specialist. Correct by 02/06/2025

Corrected Corrected by Feb 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 21 staff files and observed 4 staff to need documentation of trails clearance letters Correction: All individuals requiring a background check must review Navigating the Background

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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

hand sanitizer in the flex room, spray sanitizer in room 4 on the cubbies and cetaphil in room 7 all marked keep out of reach of children and accessible to children. Correction: Ensure all keep out of reach of children items are inaccessible to children at all times. Correct immediately 3/8/24. ****Corrected at time of visit by making inaccessible to children. No response is required. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 19 staff files and observed 4 staff (Jessica S., Sara R., Madison M, & Ryan W) to not have a medical statement in their staff files. Correction: Obtain and maintain documentation of current medical statements for staff within 30 days of hire. Correct by 04/08/2024

Corrected Corrected by Apr 8, 2024

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

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 19 staff files and observed 6 staff to not have the child development training within 90 days of employment. (Gigi V. HD 8/22, Jessica S. HD 1/23, Tori L., 9/23, Madison M. HD 9/23, Rachel R HD 9/23 & Ryan R 9/23) Correction: Ensure all staff have at least 1 hour of child development training within 90 days of hire. Correct immediately 3/8/24 and submit compliance by 4/8/24. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Reviewed 19 staff files and observed 1 staff (Caroline H. HD 9/23) to not have signed off on rules and regulations. Correction: Ensure each staff has signed off that they have read and understand the licensing rules. Correct immediately 3/8/24 and submit compliance by 4/8/24. Correct by 03/08/2024

Corrected Corrected by Mar 8, 2024

Marked corrected in the state record.