2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider

Reviewed 8 child files. 1 child missing a copy of the health statement from the health care provider. Correction: Review all child files. All children must have a current copy of the health statement from a health care provider on file and available for review at all times. Submit a written statement of compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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.

At the time of visit, the following was observed: In Room 108, the co-teacher walked out of the room to use the bathroom leaving the other co-teacher alone in the classroom with 19 children, exceeding the ratio for children 3 year old. In Room 109, the co-teacher walked into the classroom leaving the other co-teacher alone on the playground with 18 children, exceeding the ratio for children 4 years old. In Room 110, the assistant teacher took 2 children into the school hallway to use the restroom leaving the other teacher FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ alone in the classroom with 17 children, exceeding the ratio for children 4 years old. Correction: Immediately, required staff to child ratios must be maintained at all times. Submit a written statement of compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: ratio. Marked corrected in the state record.

2.220.G · All medications, except those medications specified in the Department-approved medication administration training as emergency medications, must be locked and inaccessible to children, but available to staff trained in administering medication. Controlled medications must be counted and safely secured, and specific policies regarding their handling require special attention in the center's policies. Access to these medications must be limited.

At the time of visit, in Room 108, a bottle of Aleve medicine was in an unlocked drawer and accessible to children. Correction: Immediately, all medications must be locked and inaccessible to children at all times. Corrected at time of visit, the center director moved the bottle of Aleve to a locked cabinet in the bathroom bringing the classroom into compliance. Submit a written statement of compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: ratio. Marked corrected in the state record.

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

At the time of visit, in Room 108, the following items labeled 'keep out of reach of children' were accessible to children: a rat trap was on the floor in the bathroom, a can of lysol spray and bottle of anti-bacterial soap was on a low shelf in an unlocked cabinet, Lysol anti-bacterial wipes were on a low counter, and bottles of sunscreen were in an unlocked drawer of the teacher's desk. Correction: Immediately, items labeled keep out of reach of children must be inaccessible to children at all times. Corrected

Open Not marked corrected in the state record

Open / not marked corrected.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

At the time of visit, in Room 108, an opened box of loose ziploc bags were in an unlocked cabinet, and a roll of loose trash bags were in an unlocked drawer and accessible to children. Correction: Immediately, loose plastic bags must be stored in areas inaccessible to children at all times. Corrected at time of visit, the bags were placed on a high shelf in a locked cabinet making them inaccessible to children. Submit a written statement of compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Marked corrected in the state record.

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

At the time of visit, in Room 108, staff personal bags were on the floor by the teacher desk and accessible to children. Correction: Immediately, staff personal bags and other hazardous items must be inaccessible to children at all times. Submit a written statement of compliance by 4/12/2025. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: physical safety. 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 8 staff files. Rene and Kathryn missing documentation of a current TRAILS background check clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately review all staff files. All staff must renew the TRAILS background check every 5 years. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff members Rene and Kathryn have reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for Rene and Kathryn and a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: background checks. 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 8 staff files. Jessica missing documentation of a completed Introduction to Early Intervention training. Correction: Immediately review all staff files. All staff must complete a department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs within the first 90 calendar days of employment. Submit documentation and a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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 8 staff files. Jessica missing documentation of a completed Recognizing the Impact of Bias training. Correction: Immediately review all staff files. All staff must complete a department-approved training course: Recognizing the Impact Bias on Early Childhood Professionals within the first 90 calendar days of employment. Submit documentation and a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 8 staff files. Jessica missing documentation of a 1 hour child development training. Correction: Immediately review all staff files. All staff must complete at least 1 hour of child development training within the first 90 days of employment. Submit documentation and a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.A.1 · All children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise

At the time of visit, a staff member lacking documentation of qualifications was supervising a group of children alone during lunch time. Correction: Immediately, all children must be under the direct supervision of a qualified adult at all times. Submit a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: supervision. Marked corrected in the state record.

2.120.A · An operator of a licensed facility, guest child care facility as defined in section 26.5-5-303(10), C.R.S., or an exempt family child care home provider must submit a request to determine if an operator, applicant for employment or current employee has been found responsible for a confirmed report of child abuse or neglect in the Department's automated system (Trails).

Reviewed 8 staff files. Jessica missing documentation of a current TRAILS background check clearance letter. Correction: Immediately review all staff files. The facility must submit a request for a TRAILS background check for each current employee and have a current clearance letter available for review at all times. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff member Jessica has reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for Jessica and a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: background checks. 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 8 staff files. Jessica missing documentation of a current TRAILS background clearance letter and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ was supervising children alone. Correction: Immediately review all staff files. Each employee with unsupervised access to children must have a completed TRAILS background clearance letter. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint on the CDEC website. Submit verification that staff member Jessica has reviewed the video within 24 hours. Submit documentation of TRAILS Clearance Letters for Jessica and a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: supervision. 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 8 staff files. Jessica missing documentation of a current Standard Precautions training. Correction: Immediately review all staff files. All staff must complete a department-approved training prior to working with children. Submit documentation and a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. Marked corrected in the state record.

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of visit, a bucket of sunscreen bottles all labeled 'keep out of reach of children' was in a cubby in the hallway and accessible to children. In the following classrooms, sharpie markers labeled 'keep out of reach of children' were accessible to children: In room 108, sharpie markers were in an unlocked desk drawer. In room 109, sharpie markers were in a pencil holder on the teacher's desk. Correction: Immediately, all items labeled 'keep out of reach of children' must be inaccessible to children at all times. Corrected at time of visit, the center director moved all keep out of reach items to high shelves making them inaccessible to children. Submit a written statement of future compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Marked corrected in the state record.

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

At the time of visit, in room 107, a pair of adult scissors was in an unlocked desk drawer, in room 108 a pair of adult scissors was in an unlocked desk drawer and an apple slicer was in an unlocked drawer by the sink. Correction: Immediately, all sharp tools and instruments must be inaccessible to children at all times. Corrected at time of visit, the center director moved the scissors and apple slicers to high, locked cabinets making them inaccessible to children. Submit a written statement of future compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 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.

At the time of visit, in room 109, chairs were stacked on tables in the classroom creating a safety hazard. Correction: Immediately, all indoor furnishings must be safe and free of hazards of all times. Corrected at time of visit, the classroom teacher put the chairs on the ground bringing the facility into compliance. Submit a written statement of future compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

At the time of visit, in room 107, a staff purse was on a chair by the desk and was accessible to children. Correction: Immediately, all staff purses and other hazardous items must be inaccessible to children at all times. Corrected at time of visit, the center director moved the staff purse to a high, locked cabinet making it inaccessible to children. Submit a written statement of future compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: physical safety. 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 covers, or safety outlets must be installed.

At the time of visit, in room 107, an outlet was uncovered by the dry erase board and accessible to children, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ and in room 110, two outlets were uncovered by the mini fridge and were accessible to children. Correction: Immediately, all electrical outlets that are accessible to children must have protective covers at all times. Submit a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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.

At the time of visit, the facility missing documentation of lockdown and tornado drills. Correction: Immediately, emergency drills must be held at least quarterly and tornado drills must be held monthly from March - October. Submit a written statement of compliance by 5/18/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. Marked corrected in the state record.