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 17 staff files and observed 1 staff missing a health statement. Correction: Obtain health statement for staff, correct by 4/10/26. Correct by 04/10/2026

Corrected Corrected by Apr 10, 2026

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

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.

Reviewed CSR's and observed 4 days in July when the preschool (3's) room was out of ratio. Correction: Staff to child ratios must be maintained at all times, correct immediately 7/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

Category: ratio. Marked corrected in the state record.

2.212.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

During the inspection, specialist heard the teacher in preschool room (3's) yelling at the children harshly several times. Correction: All staff must demonstrate knowledgeable decision making and concern for the proper care and well being of children, correct immediately 7/29/25. Correct by 07/29/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Jul 29, 2025

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.

Amber C 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 (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 07/29/2025

Corrected Corrected by Jul 29, 2025

Category: supervision. 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.

Amber C to be missing a CBI letter. 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.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.

Amber C to have an expired department approved standard precautions training. Correction: Obtain department approved standard precautions training, correct immediately 7/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

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.

Amber C to have an expired department approved safe sleep training. Correction: Obtain department approved safe sleep training, correct immediately 7/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

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

2.214.F.1.a · An assistant director working under the supervision of a director must be at least eighteen (18) years of age, have at least nine (9) months (1,365 hours) of experience as an early childhood teacher, and must meet one (1) of the following qualifications: A Bachelor’s, Master’s, or Doctorate degree from an accredited college or university;

Amber C to be missing qualifications for Assistant Director. Correction: Obtain qualifications for staff, correct immediately 7/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

Category: supervision. Marked corrected in the state record.

2.217.A.3 · The director of the center must be present at the center at least sixty percent (60%) of any day that the center is open.

No director present for 60% of the day. Correction: Director must be present at least 60% of the day, correct immediately 7/29/25. Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

Marked corrected in the state record.

2.205.D · Any center having a director assigned to a classroom must have qualified and adequate staff, allowing the director or qualified staff the ability to attend to the duties of a director as they arise.

Assistant Director (Director sub) was in classrooms and no staff were available to allow Assistant Director to attend to the duties as they arise. No staff were available to answer the front door when needed several times. Correction: If Director is assigned to a classroom, there must be adequate staff to allow the Director to attend to the required duties, correct immediately 7/29/25 Correct by 07/29/2025

Corrected Corrected by Jul 29, 2025

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 23 staff files and observed Jen (DOH 12/9/24) to be missing the department approved Introduction to Child Care Health Consultation training. Correction: Obtain the department approved Introduction to Child Care Health Consultation training, correct by 4/12/25. Correct by 04/12/2025

Corrected Corrected by Apr 12, 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 23 staff files and observed Polly R and Ivett to be missing CBI and FBI 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 have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI) for staff members 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.

2.133.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 23 staff files and observed Polly, Ivett to be missing a department approved emergency disaster and preparedness training. Correction: Obtain a department approved emergency disaster and preparedness training, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 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

Reviwed 23 staff files and observed Jen and Ivett to be missing documentation staff have been trained in fire safety and extinguishers. Correction: Obtain documentation staff have been trained in fire safety and extinguishers, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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

2.210.A · A record must be maintained, either written or electronic, for each staff member that includes the following:

Reviewed 23 staff files and observed Ivett to be missing a staff file. Correction: Obtain complete staff file, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 23 staff files and observed Jen (DOH 12.9.24), Jaylee M (DOH 1/25) to be missing a health statement, Deepali and Christina to have expired health statements. Correction: Obtain current health statements for staff, correct by 4/12/25. Correct by 04/12/2025

Corrected Corrected by Apr 12, 2025

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

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 23 staff files and observed Ivett, Jen, Jaylee, Analicia, Dafany, Christina and Heather to be mising a building and physical premises training. Correction: Obtain a building and physical premises training for staff, correct immediately 3/12/15. Correct by 03/12/2025

Corrected Corrected by Mar 12, 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 23 staff files and observed Ivett, Polly R to be missing and Ruby and Jordan D to have expired department approved standard precautions training. Observed no 2nd required signature on the certificate for Jen. Correction: Obtain department approved standard precautions training for staff, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and will be counted towards ongoing professional development.

Reviewed 23 staff files and observed Polly R to be missing and Ruby and Jordan D to have expired department approved safe sleep training. Correction: Obtain department approved safe sleep training for staff, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 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 23 staff files and observed Ivett and Polly to be missing and Elira and Jordan D to have expired department approved prevention of shaken baby/abusive head trauma training. Correction: Obtain department approved prevention of shaken baby/abusive head trauma training for staff, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 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 23 staff files and observed Ruby and Jordan D to have expired department approved training about child abuse prevention. Correction: Obtain department approved training about child abuse prevention, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 23 staff files and observed Ivett, Polly R, Kathryn T, Lexi M 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 (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff members 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.

2.216.C.3 · For every fifteen (15) or fewer toddlers, there must be at least one (1) staff member in the toddler program at all times who has a current Department-approved first aid and safety certificate that includes (CPR) for all ages of children.

No staff in the Young Toddler room to have current CPR/First Aid certification. Correction: There must be one staff member in toddler program with current CPR/First Aid cerfication, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

2.218.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.

Identified a child to have only one epipen with health plan directions to have both epipens available for the child. Correction: Any medications for children must be provided prior to first day in care, correct immediately 3/12/25. Correct by

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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;

An unlocked cabinet under the diaper station in the Preschool room to have diapers, wipes and creams. Correction: Diaper supplies must be inaccessible to children, correct immediately 3/12/25. *Corrected at time of inspection, Director locked the cabinet. No response is required. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

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

A trike on the Preschool playground to be missing a pedal, a cord in the Toddler B room plugged into outlet but not into a device, a carpet in the Preschool room to be curled up posing a potential tripping hazard. A plastic blue horse to be cracked on the bottom. All items posing a potential safety hazard. Correction: Materials must be safe and free of hazards, correct immediately 3/12/25. *Corrected at time of inspection, Director removed the rug, the trike, the blue horse and the teacher unplugged the cord. No response is required. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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

2.220.J · If a medication is out of date or left over, the parent(s)/guardian(s) is responsible for picking up the medication. If the parent(s)/guardian(s) do not respond, the center must dispose of the medications as required by the Colorado Department of Public Health and Environment.

A child in the Toddler A room to have medications still at the facility and the medication is expired. The child no longer needs the medications. Correction: Medications out of date or no longer needed must be disposed of as required by CDPHE, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: health medication. 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 11 child files and observed one child to be missing an emergency medical authorization. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain emergency medical authorization for child, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: health medication. 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 11 child files and observed 2 children to be missing immunization records. Correction: Obtain immunization records for children, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 children to be missing current health statements. Correction: Obtain current health statements for children, correct by 4/12/25. Correct by 04/12/2025

Corrected Corrected by Apr 12, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

No early childhood teacher was present in the Preschool room. Correction: There must be assigned at least one ECT supervising each group of children, correct immediately 3/12/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: supervision. 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 23 staff files and observed Kathryn T, Lexi M, Polly to be missing out of state 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 have reviewed the powerpoint within 24 hours. Submit documentation of (Out of State background check, Out of State Clearance Letters) for staff members 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.

2.216.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 to have current CPR/First Aid certification in the older infant room. Correction: There must be one staff at all times with current First Aid/CPR certification, correct immediately 3/12/25.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

A round piece of small plastic on the floor in the DPS B room, posing a potential choking hazard. Correction: Materials may not be a choking hazard for children under the age of 3 years, correct immediately 4/4/24. *Corrected at the time of inspection, Director removed the item from the classroom. No response is required. Correct by 04/04/2024

Corrected Corrected by Apr 4, 2024

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

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.

A paper clip on a hanging snowflake in the DPS A room, posing a potential choking hazard. Correction: Material that can pose a choking hazard must not be accessible to children under the age of 3 years, correct immediately 1/18/24. *Corrected at the time of inspection, teacher removed the paper clip. No response is required. Correct by 01/18/2024

Corrected Corrected by Jan 18, 2024

Category: physical safety. 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.

The green turf on the Preschool playground to have several areas where the turf is curling, posing a potential safety hazard. Correction: Outdoor materials must be safe and free of hazards, correct immediately 10/16/23. Document compliance to specialist by 10/23/23. Correct by 10/16/2023

Corrected Corrected by Oct 16, 2023

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

7.702.62.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the toddler room, the teachers were asked how many children they currently have. Ann responded she didn't know. Joe responded 8, but they had 9 children present. Correction: Ensure staff complete attendance verification throughout the day and know how many children they have at all times. Correct immediately by 9/1/23 and submit written statement of compliance with overall response by 9/8/23. Correct by 09/01/2023

Corrected Corrected by Sep 1, 2023

Category: recordkeeping. Marked corrected in the state record.