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 15 staff files and observed Marisol C to be have an expired department approved standard precautions training. Correction: Obtain department approved standard precautions training for staff, correct immediately 7/3/25. Correct by 07/03/2025

Corrected Corrected by Jul 3, 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 16 staff files and observed Rebecca T to be missing the cpr/first aid module or training. Correction: Obtain cpr/first aid module for staff, correct by 8/3/25. Correct by 08/03/2025

Corrected Corrected by Aug 3, 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 15 staff files and observed Marisol C to have an expired department approved child abuse prevention training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain department approved child abuse prevention training, correct immediately 7/3/25. Correct by 07/03/2025

Corrected Corrected by Jul 3, 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 2 room to have current department approved first aid and cpr. Correction: At least one staff member must have department approved first aid and cpr in the infant room at all times, correct immediately 7/3/25. Correct by 07/03/2025

Corrected Corrected by Jul 3, 2025

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 YT1 (toddler) room to have department approved first aid and cpr training. Correction: At least one staff member must have department approved first aid and cpr at all times, correct immediately 7/3/25. Correct by 07/03/2025

Corrected Corrected by Jul 3, 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 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 15 staff files and observed Alyssa C (DOH 2.10.25) to be missing a health statement signed and dated by a physician. Correction: Obtain a health statement signed and dated by a physician for staff, correct by 8/3/25. Correct by 08/03/2025

Corrected Corrected by Aug 3, 2025

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

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 fire drills documented for Aug-Dec 2024. No tornado drills documented for June, Aug, Sep, Oct 2024 and no tornado drills for 2025. Only 2 lock down drills for 2024 and no lock down drills for 2025. Correction: Emergency drills must be conducted according to rule, correct immediately 7/3/25. Correct by 07/03/2025

Corrected Corrected by Jul 3, 2025

Category: recordkeeping. Marked corrected in the state record.

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

Sunscreen bottles to be missing first and last names. Correction: Sunscreen bottles must be labeled with child's first and last names, correct immediately 7/3/25. Correct by 07/03/2025

Corrected Corrected by Jul 3, 2025

Marked corrected in the state record.

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

2 large bags of potting soil by the shed on the Preschool playground, labeled "keep out of the reach of children" and accessible to children. Correction: Items labeled "keep out of the reach of children" must be inaccessible to children, correct immediately 7/3/25.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.229.F · Glitter must not be used with children under three (3) years of age.

Art project hanging outside of the Infant 1 room to have glitter on the project. Correction: Glitter must not be used with children under age of 3 years, correct immediately 7/3/25. *Corrected at time of inspection, the project was removed. No response is required. Correct by 07/03/2025

Corrected Corrected by Jul 3, 2025

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.

Small stickers in a sensory tub in the Todder room and a puzzle labeled 3+ on a shelf. Correction: Materials that could pose a choking hazard must be inaccessible to children, correct immediately 7/3/25. *Corrected at time of inspection, Director removed the stickers and the puzzle. No response is required. Correct by 07/03/2025

Corrected Corrected by Jul 3, 2025

Category: physical safety. 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 16 staff files and observed 2 staff (Lindsey P. HD 4/3/23 & Avery S. HD 4/30/24) to not have documentation of 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 Lindsey & Avery have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff members Lindsey & Averywith written response to the Specialist. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 16 staff files and observed 1 staff Georgina HD 7/1/24 to not have documentation of Disaster preparedness training prior to working with children. Correction: Obtain and maintain documentation of training in staff file. Correct immediately 7/18/24 and submit compliance by 7/25/24. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

Reviewed 16 staff files and observed Georgina working in the toddler room as an aid to not have documentation of toddler orientation. Correction: Obtain and maintain documentation of toddler orientation. Correct immediately 7/18/24 and submit compliance by 7/25/24. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

Category: supervision. Marked corrected in the state record.

2.216.F.1 · Equally qualified staff must be available to substitute for regularly assigned staff who are sick, on vacation, or otherwise unable to be on duty.

Identified that the IPS has been out on scheduled sick leave for over a week and there is not a qualified IPS working in the classroom. Correction: Ensure that an equally qualified staff is available to substitute. Correct immediately 7/18/24 and submit compliance by 7/25/24. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

Marked corrected in the state record.

2.218.A · The center must accept and care only for children of the ages for which it has been licensed. At no time shall the number of children in attendance exceed the number for which the center has been licensed.

assistant director Lindsey's child to be on site during the visit and is older than the ages on the license. Correction: Ensure the center only accepts and cares for children of the ages it has been licensed. Correct immediately

Open Not marked corrected in the state record

Open / not marked corrected.

2.226.C.2 · All groups of children must be actively supervised by a qualified early childhood teacher at all times.

Identified that the staff in the YT2 classroom (Terry & Georgina) were not ECT qualified. Correction: Ensure that all groups of children are actively supervised by a qualified ECT at all times. Correct immediately 7/18/24. ***Corrected by placing an ECT in the classroom during the visit. No response is required. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

Category: supervision. 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.

2 balls marked ages 3+ to be on the playground with children under the age of 3. Correction: Ensure all equipment is appropriate for children's ages. Correct immediately 7/18/24. ***Corrected at time of visit by removing from the playground. No response is required. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

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

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

weed fabric exposed under the wooden tee pee on the toddler playground and also observed the art easel on the older children's playground to have chipping paint. Correction: Ensure all equipment is safe and free of hazards. Correct immediately 7/18/24 and submit compliance by 7/25/24. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

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

Reviewed 13 children's files and observed 1 child to have an expired emergency medical authorization form. Correction: Obtain and maintain current emergency medical authorization for all children enrolled with expired forms. Correct immediately 7/18/24 and submit compliance by 7/25/24. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

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

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.

Reviewed drill log and observed no documentation of fire and tornado drills in June. Correction: Ensure to perform and document drills according to rule above. Correct immediately 7/18/24 and submit compliance by 7/25/24. Correct by 07/18/2024

Corrected Corrected by Jul 18, 2024

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 11 staff files and observed 2 staff (Sandy 8/11/23 & Terri 8/7/23) to not have child abuse and prevention training within 30 days of hire. Correction: Obtain and maintain documentation of trainings. Correct immediately 9/20/23 and submit compliance by 10/20/23. Correct by 09/20/2023

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

Reviewed 11 staff files and observed 1 staff member Sandy (HD 8/11/23) to not have documentation of the department approved training in emergency and disaster preparedness. Correction: Obtain and maintain documentation of trainings. Correct immediately 9/20/23 and submit compliance by 10/20/23. Correct by 09/20/2023

Corrected Corrected by Sep 20, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.34.A.7 · 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 9 children's files and observed 1 child to not have a current emergency medical authorization form. Correction: Obtain and maintain documentation of current authorization for all children enrolled with expired forms. Correct immediately 9/20/23 or prior to next day in care. Submit compliance by 10/20/23. Correct by 09/20/2023

Corrected Corrected by Sep 20, 2023

Category: health medication. 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 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 11 staff files and observed 2 staff to not have health statements within 30 days of hire. (Terri 8/7/23 & Sandy 8/11/23). Correction: Obtain and maintain documentation of current health statements for staff missing them. Correct by 10/20/2023

Corrected Corrected by Oct 20, 2023

Category: health medication. 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 11 staff files and observed 2 staff to be missing standard precautions (La'myia HD 8/28/23 and Sandy HD 8/11/23) and 2 staff to not have signed certificates for training of exposure control plan. (Lisa & Lindsey) Correction: Obtain and maintain documentation of trainings. Correct immediately 9/20/23 and submit compliance by 10/20/23. Correct by 09/20/2023

Corrected Corrected by Sep 20, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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.

Reviewed11 staff files and observed 1 staff (Sandy HD 8/11/23) to not have documentation of first aid and CPR module within 30 days of hire. Correction: Obtain and maintain documentation of trainings. Correct immediately 9/20/23 and submit compliance by 10/20/23. Correct by 09/20/2023

Corrected Corrected by Sep 20, 2023

Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 9 children's files and observed 1 child to have an expired health statement. Correction: Obtain and maintain current health statements according to the American academy of pediatrics recommended schedule and within 30 days of expiration. Correct by 10/20/2023

Corrected Corrected by Oct 20, 2023

Category: ratio. 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.

paint peeling on the boat and art easel on the preschool playground. Correction: Ensure all equipment is sturdy, safe and free of hazards. Correct immediately 9/20/23 and submit compliance

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.