2.206.B.8 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The center’s procedure on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children with challenging behaviors, including how the center will:

Identified through a discussion with the Director,and a review of documentation, that the facility did not follow their policy regarding inappropriate child behaviors. Correction: Policies and procedures must be followed at all times. Correct immediately by 5/4/26 and submit written statement of compliance with overall response by 5/11/26. Correct by 05/04/2026 ________________________________________________

Corrected Corrected by May 4, 2026

Marked corrected in the state record.

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

Exposed weed guard on the toddler playground, which poses a potential tripping hazard. Previously cited on 2/10/26, 2/19/26. Correction: All indoor and outdoor equipment and materials must be sturdy, safe and free from hazards, Correct immediately by 3/10/2026 and submit written statement of continued compliance with overall response by 3/17/26. Correct by 03/10/2026

Corrected Corrected by Mar 10, 2026

Category: physical safety. 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.

Upon walking into the Two's 1 classroom at 7:30am, Specialist observed 9 toddlers with 1 staff member. Reviewed name to face sheet for the Two's 1 classroom today 2/19/26, and observed the Two's 1 classroom to have 1:9 (all 2 year olds) from 7:14am-7:30am. and ratio should have been 1:7. Reviewed four additional days of name-to-face documentation for the Two 1 clasroom and observed: 2/12/26 7:34-7:40am 1:9 children and ratio is 1:7. 2/17/26 7:11-7:20am 1:10 children and ratio is 1:7. 2/18/26 7:12am-7:15am 1:8 children and ratio is 1:7 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Also observed today, 2/19/26, the infant room to be out of ratio at 9:10am-9:13am with 1 staff to 6 infants, and ratio is 1:5; Tod 2 from 7:55-8:05am had 1 staff to 8 children and ratio is 1:5; Pre-K from 7:08-7:10am had 1 staff to 13 children and ratio is 1:10 Correction: Staff to child ratios must maintained at all times. Correct immediately by 2/19/2026. Submit written statement of compliance with overall response by 2/26/2026. Correct by 02/19/2026 ________________________________________________

Corrected Corrected by Feb 19, 2026

Category: ratio. Marked corrected in the state record.

2.223.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.

Reviewed transitions sheets for different classrooms for 5 days and observed three days not to have documentation of transitions between classrooms. Correction: Written attendance verification must be used daily including during transitions. Correct immediately by 2/19/26

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.229.T.2 · If the center serves school-age children, it must have some age-appropriate materials and equipment from each of the following categories: Games.

Observed the school-age classroom to be missing games. Correction: The school-age classroom must have games in the classroom. Correct immediately by 2/19/2026. Corrected at the time of visit by the Director putting materials in the classroom. Submit written statement of continued compliance by 2/26/2026. Correct by 02/19/2026

Corrected Corrected by Feb 19, 2026

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.

Observed an unsecured sensory bottle with beads in it, the two's one classroom, which is a potential chocking hazard. Correction: Toys, toy parts, materials and accessible to children under 3 must not be a choke hazard. Correct immediately by 2/19/2026. Corrected at the time of visit by the teacher removing the bottle from the classroom. No written response is required. Correct by 02/19/2026

Corrected Corrected by Feb 19, 2026

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.

Exposed weed guard on the toddler playground, which poses a potential tripping hazard. Previously cited on 2/10/26. Correction: All indoor and outdoor equipment and materials must be sturdy, safe and free from hazards, Correct immediately by 2/19/2026 and submit written statement of continued compliance with overall response by 2/26/2026. Correct by 02/19/2026

Corrected Corrected by Feb 19, 2026

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

2.229.T.4 · If the center serves school-age children, it must have some age-appropriate materials and equipment from each of the following categories: Science and Math.

Observed the school-age classroom to be missing science and math materials. Correction: The school-age classroom must have science and math materials. Correct immediately by 2/19/2026. Corrected at the time of visit by the Director putting materials in the classroom. Submit written statement of continued compliance by 2/26/2026. Correct by 02/19/2026

Corrected Corrected by Feb 19, 2026

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.

Exposed weed guard on the toddler playground, which poses a potential tripping hazard. Correction: All indoor and outdoor equipment and materials must be sturdy, safe and free from hazards, Correct immediately by 2/10/26. Corrected at the time of visit by the Director cutting and burying the weed guard. No written response is required Correct by 02/10/2026

Corrected Corrected by Feb 10, 2026

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

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

In the Pre-K 1 and the Two's 2 classrooms, two cots were closer than 2 feet apart. Correction: Cots must be spaced at least 2 feet apart on all sides during rest time. Correct immediately by 12/15/25. Corrected at the time of visit by the teacher moving one cot away from the other one in both classrooms. . No written response is required. Correct by 12/15/2025

Corrected Corrected by Dec 15, 2025

Category: supervision. Marked corrected in the state record.

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

The weed guard was exposed in several areas on the toddler playground, which is a potential tripping hazard. Correction: Indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free from hazards. Correct immediately by 12/15/25. Corrected at the time of visit by the Director covering the weed guard with wood chips. No written response is required. Correct by 12/15/2025

Corrected Corrected by Dec 15, 2025

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

2.223.D.5.a · If preschool-age children are in care for longer than five (5) hours, the center must provide at least a thirty (30) minute rest period meeting the following: A firm cot or two (2) inch mat with a sheet and blanket, or other suitable covering, must be provided for each child;

Observed a cot in the Preschool classroom to be missing a sheet on the cot and a child was sleeping on it. Correction: Children must have a sheet and a blanket must be provided for each child. Correct immediately by 12/15/25 and submit written statement of compliance with overall response by 12/22/25. Correct by 12/15/2025

Corrected Corrected by Dec 15, 2025

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.

Observed sidewalk chalk and foam stickers that fit in a choke tube in the preschool classroom and one 2 year old was present. Correction: Toys, toys parts and equipment must not fit in choke tube when children are less than 3 years of age are present. Correct immediately by 12/15/25. Corrected at the time of visit by the teacher removing the items. No written response is required. Correct by 12/15/2025

Corrected Corrected by Dec 15, 2025

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

2.223.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 Pre-K 2 the name to face showed 13 children signed in, but only 12 were present and when asked how many children were present, staff responded 11. Per staff statement, a child left at 11:30am, but was not signed out until 12:50 pm. Correction: Staff members must complete written attendance verification periodically throughout the day. Correct immediately by 12/15/25 and submit written statement of compliance with overall response by 12/22/25. Correct by 12/15/2025

Corrected Corrected by Dec 15, 2025

Category: recordkeeping. Marked corrected in the state record.

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

The bottom of the window shade in the Toddler 2 classroom was ripped and frayed, causing a potential safety hazard. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately by 11/24/25. Corrected at the time of visit by the Director cutting the frayed edges off of the bottom on the blinds. No written response is required. Correct by 11/24/2025

Corrected Corrected by Nov 24, 2025

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

2.223.D.5.a · If preschool-age children are in care for longer than five (5) hours, the center must provide at least a thirty (30) minute rest period meeting the following: A firm cot or two (2) inch mat with a sheet and blanket, or other suitable covering, must be provided for each child;

1 child missing a sheet in the Pre-K 2 classroom and 2 children missing a blanket in the Pre-K 2 classroom. Correction: A sheet and blanket, or other suitable covering, must be provided for each child; Correct immediately by 11/24/25. Corrected at the time of visit by the Director getting the children missing blankets and sheets. No written reponse is required. Correct by 11/24/2025

Corrected Corrected by Nov 24, 2025

Marked corrected in the state record.

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Two cots in the preschool classrooms measured less than 2 feet apart and children were sleeping on them. Correction: Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Correct immediately by 11/24/25. Corrected at the time of visit by the teacher moving the child and the table. No written response is required. Correct by 11/24/2025

Corrected Corrected by Nov 24, 2025

Category: supervision. Marked corrected in the state record.

2.229.T.1 · If the center serves school-age children, it must have some age-appropriate materials and equipment from each of the following categories: Arts and Crafts.

Crayons, markers and paper accessible for school age children. Correction: If the center serves school-age children, it must have arts and crafts available to children at all times. Correct immediately by 11/24/25. Corrected at the time of visit by the Director placing craft items in the school age clasrooms. No written response is required. Correct by 11/24/2025

Corrected Corrected by Nov 24, 2025

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

2.229.T.2 · If the center serves school-age children, it must have some age-appropriate materials and equipment from each of the following categories: Games.

The games for the school age children were in a closet inaccessible to the children. Correction: If the center serves school-age children, it must have games available to children at all times. Correct immediately by 11/24/25. Corrected at the time of visit by the Director placing games in the school age classrooms. No written response is required. Correct by 11/24/2025

Corrected Corrected by Nov 24, 2025

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

2.234.A · The center must comply with applicable state and local building and fire codes. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

A child was sleeping in front of a secondary emergency exit and a table against the door in the preschool classroom. . Correction: The center must comply with all applicable state and local building and fire codes. Correct immediately by 11/24/25. Corrected at the time of visit by the teacher moving the child and the table. No written response is required. Correct by 11/24/2025

Corrected Corrected by Nov 24, 2025

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 15 staff files and observed one staff member to have an expired Mandated Reporter training. *This is a direct violation of stipulation "K" on the probationary license. Correction: Obtain documentation of a current Department approved Mandated Reporter training for the staff member. Correct immediately by 9/29/25 and submit written statement of compliance with overall response by 10/6/25. Correct by 09/29/2025

Corrected Corrected by Sep 29, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 15 staff files and observed one staff member to have an expired Standard Precautions training. *This is a direct violation of stipulation "K" on the probationary license. Correction: Obtain documentation of a current Department approved Standard Precautions training for the staff member. Correct immediately by 9/29/25 and submit written statement of compliance with overall response by 10/6/25. Correct by 09/29/2025

Corrected Corrected by Sep 29, 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 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 15 staff files and observed 2 staff member to be missing documentation of a Trails letter. *This is a direct violation of stipulation "L" on the probationary license. 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 clearance Letters for staff member with written response to the Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 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.

Reviewed 15 staff files and observed 1 staff member to be missing documentation of a CBI clearance letter. *This is a direct violation of stipulation "L" on the probationary license. 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 CBI clearance Letters for staff member with written response to the Specialist. Correct by

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Observed the facility to have a health inspection completed on 6/12/25, however it was not a passing inspection. Correction: Obtain and provide documentation of a passing health inspection. Correct immediately by 9/29/25 and submit written statement of compliance with overall response by 10/6/25. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: health medication. 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

Observed a child in the restroom in the hall and the teacher was in the school age classroom. *This is a direct violation of stipulation "D" on the probationary license Correction: All children must be under direct supervision at all times. Correct immediately 9/8/25 and submit written statement of compliance with overall response by 9/15/25. Correct by 09/08/2025

Corrected Corrected by Sep 8, 2025

Category: supervision. Marked corrected in the state record.

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

The weed guard was exposed in a small area on the preschool playground, which is a potential tripping hazard. The plastic coating on the preschool playground structure is coming up in several areas, which is a potential tripping hazard. Correction: Indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free from hazards. Correct immediately by 8/14/25 and submit written statement of compliance with overall response by 8/21.25. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

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;

Reviewed a random sampling of 10 children's files and observed 4 children to have expired emergency authorization. *This is a direct violation of stipulation "Q" on the probationary license. Correction: Obtain current emergency authorization for all children in care. Correct immediately by 7/22/25 or on next day child is in care. Submit written statement of compliance with overall response by 8/22/25. Correct by 07/22/2025

Corrected Corrected by Jul 22, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 a random sampling of 10 children's files and observed 4 children to have expired health statement. *This is a direct violation of stipulation "Q" on the probationary license. Correction: Obtain current medical statement for all children in care. Correct and submit written statement of compliance with overall response by 8/22/25. Correct by 08/22/2025

Corrected Corrected by Aug 22, 2025

Category: ratio. Marked corrected in the state record.

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

Exposed weed matting on the preschool playground, posing a potential safety hazard. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately by 7/22/25. Corrected at the time of visit by the Director cutting the exposed weed guard. No written response is required. Correct by 07/22/2025

Corrected Corrected by Jul 22, 2025

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

2.127.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 ratios or capacity was posted in the School Age 1 and 2 classrooms. *This is a direct violation of stipulation "C" on the probationary license. Correction: All rooms must have ratios and capacities posted, correct immediately 7/22/25. Corrected at the time of visit by the Director posting ratio and capacity signs. No written response is required. Correct by 07/22/2025

Corrected Corrected by Jul 22, 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.

Observed a gallon container of sunscreen labeled "keep out of reach of children" on the counter in the Pre-K 1 room accessible to children. This is a direct violation of stipulation M on the probationary license. Probationary stipulation (M) states "hazardous items, including items labeled "keep out of reach of children" must be inaccessible to children at all times, both indoors and outside." Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately by 6/3/25. Corrected at the time of visit by the staff putting it in a locked cabinet. No written response is required. Correct by 06/03/2025

Corrected Corrected by Jun 3, 2025

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

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.

The resilient material (wood chips) under three swings on the preschool/school age playground was less than 6 inches in depth (approx 3-4 inches). Correction: All equipment over 18 inches must have resilient material at least 6 inches in depth. Correct immediately by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.211.G · Posting of any personal information or photos of children on social media or advertisement without written parental consent is prohibited.

Identified through documentation that a staff member posted pictures of children on the staff members social media. Correction: Posting photos of children on social media is prohibited without written consent, correct immediately 5/8/25. Correct by 05/08/2025 ________________________________________________ ________________________________________________

Corrected Corrected by May 8, 2025

Marked corrected in the state record.

2.223.C.17 · If music is played in the infant sleep area, the music must not be played at a loud volume that would prevent infants from being heard by staff. Music equipment must not be placed under a crib or within three (3) feet of the sleeping infant.

A music player was under the crib where an infant was sleeping. Correction: Music equipment must not be placed under a crib or within 3 feet of a sleeping infant, correct immediately 5/8/25. *Corrected at time of inspection, Director moved the music player to at least 3 feet from any sleeping infant. No response is required. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

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

2.212.D · Staff must not use marijuana and marijuana infused products, tobacco products of any kind, or alcohol in the presence of children. To prevent exposure to secondhand smoke, child care centers must prohibit the use of tobacco and marijuana products on all center property, both indoors and outdoors. All marijuana and marijuana infused products, vaping and tobacco products, and alcohol must be kept inaccessible to children at all times.

Identified through interviews that staff members have been observed vaping on the facility's premises. Correction: Ensure that all staff members must not use marijuana and marijuana infused products or tobacco products of any kind while on the facility's property. Correct immediately 4/3/2025 and submit written compliance by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Marked corrected in the state record.

2.212.E · When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices.

Identified through interviews that staff members have been using cell phones when caring for children. Correction: Ensure that all staff, when caring for children, do not use personal electronics. Correct immediately 4/3/2025 and submit written compliance by 4/10/2025. Correct by 04/03/2025 ________________________________________________

Corrected Corrected by Apr 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.

During safety walk through observed in the Todd 2 classroom (rubber bands in the sensory table) and in Early Preschool classroom, ages 2.5-3yrs, (unlocked storage closet with magnets and cotton balls ) These items are potential choking hazards. Correction: Ensure all items that could be a choke hazard are inaccessible to children at all times. Correct immediately 4/3/2025. ***Corrected at time of visit by removing rubber bands and locking storage closet. No response required. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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;

During safety walk through observed in the Two's 2 toileting area diapers on a shelf that were accessible to children. Correction: Ensure all diapering supplies are inaccessible to children at all times. Correct immediately 4/3/2025. ***Corrected at time of visit by putting diapers away. No response required. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

During safety walk through, observed kitchen door open. The room was unattended by staff and accessible to children. Correction: Ensure kitchen is inaccessible to children at all times. Doors must be secured in a way that a child could not open the door. Correct immediately 4/3/2025 and submit written compliance by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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.

During safety walk through, observed a broken outlet plate in the School Age classroom. Previously cited on 3/13/2025. Correction: Ensure all indoor and outdoor equipment and materials are sturdy, safe, and free of hazards. Correct immediately 4/3/2025 and submit compliance with a photo of the fixed outlet by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

During safety walk through, observed a gate on fencing surrounding air conditioning units to have an opening of 4 inches, posing a potential hazard of entrapment or strangulation. Correction: Ensure gate opening has an opening of less than 3.5 inches to prevent entrapment and strangulation. Correct immediately 4/3/2025 and submit compliance by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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

2.229.B · Window blind cords must be secured out of children's reach to prevent strangulation.

During walk through observed blind cords in PreK 2 to be down and accessible to children, posing a potential strangulation hazard. Correction: Ensure all window blind cords are secured and out of reach of children to prevent strangulations. Correct immediately 4/3/2025. ***Corrected at time of visit by securing blind on hook and out of the reach of children. No response required. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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

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

During safety walk through observed closet in Two's 1 classroom with shampoo and potting soil stored inside, to be unlocked and accessible to children. This is in violation of Stipulation M on the facility's Probation letter (3/25/25). Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 4/3/2025. ***Corrected at time of visit by locking closet. No response required. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Marked corrected in the state record.

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.

During safety walk through observed playground with woodchips with less than 3inches of depth around fall zones. Correction: Children must not be on equipment until the facility can ensure all fall zones have at least 6 inches of resilient material. Correct immediately 4/3/2025 and submit written compliance by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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

2.223.D.5.c · Children who do not sleep after thirty (30) minutes must be allowed to move to another area and be provided with quiet toys and equipment to play with such as puzzles or books; and

Identified through interviews with staff that some classrooms do not allow children who do not sleep to leave their cot for the duration of nap time (2hrs). FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: After 30 minutes, children who do not sleep must be allowed to move to another area and be provided with quiet activities. Correct immediately 4/3/2025 and submit written compliance by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Category: ratio. Marked corrected in the state record.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through interviews that a staff member failed to make a reportable incident to the child abuse hotline. This is in violation of Stipulation U on the facility's Probation letter (3/25/25). Correction: Ensure all staff members report any allegation of physical, sexual, or emotional abuse to the child abuse hotline within 24 hours. Correct immediately 4/3/2025 and submit written compliance by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Category: ratio. Marked corrected in the state record.

2.206.B.26 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for reporting of child abuse, including the name of the county department of social/ human services and phone number of where a child abuse report should be made (see rule section 2.126, of the General Rules for Child Care Facilities);

Identified through interviews that staff members were not familiar with the procedure to report child abuse. Correction: Ensure all staff know the procedure for reporting child abuse, including the name of the county department of social/human services and phone number of where a child abuse report should be made. Correct immediately 4/3/2025 and submit written compliance by 4/10/2025. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Marked corrected in the state record.

2.207.B · The center must have a working telephone with the number available to the public. Emergency telephone numbers of the following must be posted near the telephone: a 911 notice, where 911 is available, or rescue unit if 911 isn't available; a hospital or emergency medical clinic; the local fire, police, and health departments; and Rocky Mountain Poison Control. The telephone must be available to staff at all times that the center is in operation.

During safety walk through observed phones in the center did not have a posted emergency numbers for staff to know where to call in case of an emergency. Correction: Ensure emergency numbers are posted by working telephones and that staff know where to access those numbers. Correct immediately 4/3/25 and submit compliance by 4/10/25 Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 name to face sheet today, 3/12/25, and observed it to be 1:14 toddlers from 6:30-7:30 am and 2:17 from 7:30am - 8:00 am, ages 12 - 36 months. Upon walking into the classroom at 7:50am, Specialist observed 17 toddlers with 2 staff members. Reviewed name to face sheet for 3/10/25 and observed it to be 2:19 toddlers from 6:30-8 am, ages 12 - 36 months. Reviewed name to face sheet for 3/11/25 and observed it to be 1:25 toddlers from 6:30-8:00 am, ages 12-36 months. Correction: Ratio for toddlers ages 12-36 months is 10 children to 2 staff members. Correct immediately by 3/12/25. Submit written statement of compliance with overall response by 3/13/25. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

Reviewed name to face sheet today, 3/12/25, and observed it to be 14 toddlers from 6:30-7:30 am and 17 toddlers from 7:30am - 8:00 am, ages 12 - 36 months. The classroom is licensed for 10 toddlers ages 12-36 months. Upon walking into the classroom at 7:50am, Specialist observed 17 toddlers in the Toddler 2 room. Reviewed name to face sheet for 3/10/25 and observed 19 toddlers from 6:30-8 am, ages 12 - 36 months in the Toddler 2 room. Reviewed name to face sheet for 3/11/25 and observed 25 toddlers from 6:30-8:00 am, ages 12-36 months in the Toddler 2 room. Correction: Maximum group size for toddlers ages 12-36 months is 10 children. Correct immediately by 3/12/25. Submit written statement of compliance with overall response by 3/13/25. 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.

Observed an ice pack labeled "keep out of reach of children" on the table in the school age room and a first aid backpack on the ground on the preschool playground. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately by 3/12/25. Correct at the time of visit by the Director making the items inaccessible. No written response is required. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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

2.223.D.4.c · A fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child.

3 nap mats in the Pre-k 2 room to be without a sheets on them and children sleeping on them. Correction: Ensure a fitted sheet is provided for each child. Correct Immediately 2/24/25 and submit compliance by 3/1/25 Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

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 2's classroom diapering supplies accessible to children Correction: Ensure all diapering supplies are inaccessible to children at all times. Correct immediately 2/24/25 and submit compliance by 3/1/25 Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

Marked corrected in the state record.

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

bubbles in a unlocked ajar storage closet on the floor in toddler class 3 and 2 emergency backpacks on the ground on the playground all with items labeled "keep out of reach" Correction: Ensure all items labeled "keep out of reach" are inaccessible to children at all times. Correct Immediately 2/24/25. * Corrected at time of visit by making inaccessible. No response is required. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

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

2.229.D · Staples must be inaccessible to children less than three (3) years of age.

loose staples on the ground in the 2-3 year old classroom. Correction: Ensure that all staples are inaccessible to children under 3 years of age. Correct Immediately 2/24/25 ** Corrected at the time of visit by cleaning the staples up off of the floor. No Response is required. Correct by 02/24/2025

Corrected Corrected by Feb 24, 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.

in the Toddler 1 classroom fake flower tops in the sensory bin and in the 2- 3 year old classroom small broken crayon pieces , all of which fit into a choke tube. Correction: Ensure all items that can fit into a choke tube are inaccessible to children under 3 years of age. Correct immediately 2/24/25. **Corrected at the time of visit by removing from the classroom. No response is required. Correct by 02/24/2025

Corrected Corrected by Feb 24, 2025

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.

The weed guard under a swing on the preschool playground is ripped and is a potential tripping hazard. A tricycle without plastic handlebar covers, a tricycle without a pedal and a tricycle with a cracked plastic seat. Correction: Indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free from hazards. Correct immediately by 2/5/25 and submit written statement of compliance with overall response by 2/12/25. Correct by 02/05/2025

Corrected Corrected by Feb 5, 2025

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

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

Adult scissors on the counter accessible to children in the Pre-K 1 classroom. Correction: Sharp tools and instruments must be stored in areas inaccessible to children. Correct immediately by 2/5/25. Corrected at the time of visit by the Director putting them in a locked cabinet. No written response is required. Correct by 02/05/2025

Corrected Corrected by Feb 5, 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.

Observed several cotton balls on an art project on the wall in the Early Preschool room accessible to children under 3 years of age. Correction: 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. Correct immediately by 1/10/2025. Corrected at the time of visit bu the Director throwing the choking hazards in the trash. No written response is required. Correct by 01/10/2025

Corrected Corrected by Jan 10, 2025

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

7.702.64.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through staff statements that staff member sprayed children with a water bottle for discipline. Staff member also put a child in a chair firmly and the child hit their head on the wall. Correction: Children must not be subjected to physical or emotional harm, correct immediately 9/14/22. Document compliance to specialist by 9/21/22. Correct by 09/14/2022 Stage II Licensing Concern :

Corrected Corrected by Sep 14, 2022

Category: supervision. Marked corrected in the state record.

7.702.64.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

Identified through staff statements that children were put in the bathroom by staff member for discipline. Correction: Guidance must be appropriate and used as an opportunity to teach, correct immediately 9/14/22. Document compliance to specialist by 9/21/22. Correct by 09/14/2022 Stage II Licensing Concern : Staff members observed harsh treatment and failed to report an incident as required by statute and licensing regulation within the required timeframes. - FOUNDED

Corrected Corrected by Sep 14, 2022

Category: supervision. Marked corrected in the state record.

7.701.53.B · . Pursuant to Section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency.

Staff members witnessed harsh treatment of children and failed to report an incident as required by statute and licensing regulation within the required timeframes. Correction: Any staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse shall immediately report it to the county department of human services, correct immediately 12/15/22. Document compliance to specialist by 12/22/22. Correct by 12/15/2022 ________________________________________________ Stage II Licensing Concern : Staff member 1 laughs at children when toileting accidents occur. - UNFOUNDED Stage II Licensing Concern :

Corrected Corrected by Dec 15, 2022

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 play kitchen on the toddler playground to have several cracks with sharp edges. Observed a trike to be missing the plastic handlebars. Observed 3 swings on the Preschool playground to have broken plastic covers on the chains. All items posing a potential safety hazard. Correction: Materials must be safe and free of hazards, correct immediately 9/14/22. Document compliance to specialist by 9/21/22. Correct by 09/14/2022

Corrected Corrected by Sep 14, 2022

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

7.702.71.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 sensory table full of small hard noodles in the EPS room, posing a potential choking hazard. Correction: Materials must not pose a choking hazard, correct immediately 9/14/22. *Corrected at the time of inspection, noodles were removed from the classroom. No response is required. Correct by 09/14/2022

Corrected Corrected by Sep 14, 2022

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.

Upon arrival to the EPS, specialist asked teachers how many children were in care, they reported 8. There were 9 children in care. Correction: Attendance must be verified throughout the day, correct immediately 9/14/22. Document compliance to specialist by 9/21/22. Correct by 09/14/2022

Corrected Corrected by Sep 14, 2022

Category: recordkeeping. Marked corrected in the state record.

7.702.62.A.3 · Staff must be awake, alert, and actively supervising all children.

A child to have a large rubber band around their neck. Correction: Staff must be actively supervising children, correct immediately 9/14/22. *Corrected at time of inspection, Assistant Director noticed the rubber band and immediately removed it from the child. No response is required. Correct by 09/14/2022

Corrected Corrected by Sep 14, 2022

Category: supervision. 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 outlet in the cubby room in Preschool to be missing protective covers and an outlet plate. Observed in PreK1 an outlet by the outside door to be missing protective covers. Observed an outlet in the cubby room in PreK1 to be missing protective covers and an outlet plate. Correction: All electrical outlets must have protective covers, correct immediately 9/14/22. *Corrected at the time of inspection, all outlets had plates and protective covers placed over them. No response is required. Correct by 09/14/2022

Corrected Corrected by Sep 14, 2022

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 a random sampling of 10 children's files and observed 1 child to have an expired emergency medical authorization. Correction: Obtain current emergency medical authorization for all children in care. Correct immediately by 9/18/2024, or on next day child is in care, and submit written statement of compliance with overall response by 10/18/2024. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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

Observed a child's medication kept at the facility to not match the physician's written order. Correction: Any changes in the original medication authorization require a new written order by the prescribing practitioner. Correct immediately by 9/18/2024, and submit written statement of compliance with overall response by 10/18/2024. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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 28 staff files and observed two staff members, Charee G. and Christy H. to have an expired Infant Safe Sleep training. *This is a direct violation of stipulation "G" on the probationary license. Correction: Obtain documentation of a current Department approved Infant Safe Sleep training for the staff members listed above. Correct immediately by 9/18/24 and submit written statement of compliance with overall response by 10/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 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 28 staff files and observed three staff member, Charee G., Christy H, and Cindy A.to have an expired Mandated Reporter training. *This is a direct violation of stipulation "G" on the probationary license. Correction: Obtain documentation of a current Department approved Mandated Reporter training for the staff members listed above. Correct immediately by 9/18/24 and submit written statement of compliance with overall response by 10/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

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 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 28 staff files and observed 1 staff member, to have an expired health statement and 2 staff missing a health statement within 30 days of employment. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain a current health statement or subsequent self-reported health history submitted annually for the staff members missing them. Correct and submit written statement of compliance with overall response by 10/18/2024. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

Category: health medication. 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 28 staff files and observed one staff member, Elleanna (DOH 9/18/2023) to be missing documentation of a Recognizing the Impact of Bias training within 90 days of employment. *This is a direct violation of stipulation "G" on the probationary license. Correction: Obtain documentation of a Department approved Recognizing the Impact of Bias training for the staff member listed above. Correct and submit written statement of compliance with overall response by 10/18/24. Correct by 10/18/2024

Corrected Corrected by Oct 18, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 28 staff files and observed 1 staff member, Jennifer J to not have an current FBI clearance letter in the last 5 years (8/22/2019). *This is a direct violation of stipulation "I" on the probationary license. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Jennifer Jackson has reviewed the powerpoint within 24 hours. Submit documentation of FBI Clearance Letters for staff members Jennifer Jackson with written response to the Specialist. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: background checks. 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.

Identified that the staff could not find two medications prescribed for a child enrolled and currently attending the facility. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children and ensure that staff are aware where medications are for children at all times. Correct immediately by 9/18/24 and submit written statement of compliance with overall response by 10/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: health medication. 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 28 staff files and observed 2 staff members, Kailee R and Lilly S. to be missing documentation of a training in fire safety and the use of available fire extinguishers and fire alarms. Correction: Obtain documentation of a training in fire safety and the use of available fire extinguishers and fire alarms for the staff members missing it. Correct immediately by 9/18/24 and submit written statement of compliance with overall response by 10/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 28 staff files and observed 3 staff members, Elleanna, Bonnie V, and Lilly S. to be missing documentation of a training on the center's medication administration policy. Correction: Obtain documentation of a training on the center's medication administration policy for the staff members missing it. Correct immediately by 9/18/24 and submit written statement of compliance with overall response by 10/18/24. Correct by 09/18/2024

Corrected Corrected by Sep 18, 2024

Category: ratio. Marked corrected in the state record.

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

Observed a cord for a device plugged into an electrical outlet, but not plugged into a device in the School- Age room. This is a direct violation of stipulation (J) on the probationary license. Probationary stipulation (J) states “Licensee shall ensure all indoor and outdoor equipment is safe, sturdy and free of hazards. Correction: Indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free of hazards. Correct immediately by 8/21/24. Corrected at the time of visit by the Director putting the cord in the closet. No written response is required. Correct by 08/21/2024

Corrected Corrected by Aug 21, 2024

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

2.224.A.5 · Foods offered shall be age appropriate and not pose a choking hazard.

Identified through staff statements that frozen fruits have been served to children and posing a choking hazard for children. Correction: Food must not pose a choking hazard, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Staff make children run laps on the playground, with their arms up, as punishment. - FOUNDED

Corrected Corrected by Jul 24, 2024

Category: nutrition. Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

Identified through staff statements that staff have children run laps for discipline. Correction: Guidance must be appropriate, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Staff throw food away before Ch are done eating, or deny food as punishment. - FOUNDED

Corrected Corrected by Jul 24, 2024

Category: supervision. Marked corrected in the state record.

2.225.D · Guidance must not be associated with food, rest, or toileting. No child should be punished for toileting accidents. Food must not be denied to or forced upon a child as a disciplinary measure.

Identified through staff statements that a staff member takes away food from children as punishment. Correction: Guidance must not be associated with food, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Staff 1 and Staff 2 pull, squeeze, yank, jerk and grab children by the arm and drag children across the classroom. Staff 2 picked up Ch 1 and slammed Ch1 down on the couch. Staff carry children to office and pick them up and remove them from other children. - FOUNDED

Corrected Corrected by Jul 24, 2024

Category: nutrition. Marked corrected in the state record.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through staff statements that 2 staff members have pulled, and grabbed children by arms. *This is a direct violation of stipulation "L" on the probationary license. Correction: Children must not be subjected to physical harm, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Children run out of classrooms and are alone and staff are not aware. - FOUNDED

Corrected Corrected by Jul 24, 2024

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

Identified through staff statements that a child was left alone in a classroom for a few minutes. *This is a direct violation of stipulation "C" on the probationary license. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All children must be under direct supervision at all times, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Too many children are in a classroom. - FOUNDED

Corrected Corrected by Jul 24, 2024

Category: supervision. Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

Upon walk through specialist observed 16 toddlers age 2-3 years in Two's 1 room. When reviewing face to name sheet, they were over by 2 for approximately 20 minutes. Correction: Maximum group size must not be exceeded, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Children are denied seconds on food and go home hungry. Not enough food is served for the needs of the classroom. - FOUNDED

Corrected Corrected by Jul 24, 2024

Category: ratio. Marked corrected in the state record.

2.224.A.4 · The size of servings must be suitable for the child's age and sufficient time must be allowed so that meals are unhurried.

Identified through staff statements that there is not enough food served for the needs of the children. Seconds are requested but not given to the children. Correction: Size of servings must be suitable for children, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Staff don't call parents when children are sick. - FOUNDED

Corrected Corrected by Jul 24, 2024

Category: nutrition. Marked corrected in the state record.

2.206.B.10 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children's illnesses, accidents, and injuries

Program is not following policies regarding notifying parents of illnesses. Correction: Policies must be followed, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Staff did not report reportable incident per statute. - FOUNDED

Corrected Corrected by Jul 24, 2024

Marked corrected in the state record.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through staff statements that harsh treatment was observed but some staff did not report the incidents. *This is a direct violation of stipulation "S" on the probationary license. Correction: Within 24 hours of an incident, facility must report to the appropriate agency, correct immediately 7/24/24. Correct by 07/24/2024 Stage II Licensing Concern : Staff are not notified of health concerns for children. - FOUNDED

Corrected Corrected by Jul 24, 2024

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.

Identified through staff statements that staff are not notified of health concerns/allergies for children. Correction: All staff must use knowledgeable decision making for the well being of children, correct immediately 7/24/24.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.113.A.7 · Any person intentionally making a false statement or report to the Department or to any agency delegated by the Department to make an investigation or inspection under the provisions of the Child Care Licensing Act may be fined up to $250 a day for the first day, $500 for the second day, $1,000 a day for the third and subsequent days to a maximum of $10,000.

Identified through staff statements that emergency drills are not being completed. Specialists reviewed drill log and it was falsely documented that drills have been completed as required. Correction: False and misleading information must not be made to the department, correct immediately 7/24/24. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

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 small container with paper clips and staples on a counter in Two 2's room, posing a potential choking hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Materials that can pose a choking hazard must not be accessible to children, correct immediately 7/24/24. *Corrected at time of inspection, teacher moved items to a high cabinet. No response is required. Correct by 07/24/2024

Corrected Corrected by Jul 24, 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.

Exposed weed matting on the toddler playground, posing a potential safety hazard. *This is a direct violation of stipulation "J" on the probationary license. Correction: Materials must be safe and free from hazards, correct immediately 7/24/24. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

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

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.

Less than an inch of resilient material by the spiral slide. *Previously cited 6/25/24. Correction: All climbing equipment must have at least 6 inches of resilient material, correct immediately 7/24/24. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

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

2.127.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 ratios or capacity was posted in the PreK 2 room. *This is a direct violation of stipulation "B" on the probationary license. Correction: All rooms must have ratios and capacities posted, correct immediately 7/24/24. Correct by 07/24/2024

Corrected Corrected by Jul 24, 2024

Category: ratio. Marked corrected in the state record.

2.126.D.2 · An agency or facility must not interfere or refuse to cooperate with a child protection investigation.

Identified through interviews with staff members, that Admin shared confidential information regarding an open investigation with staff members at a staff meeting. Correction: A facility must not interfere with an investigation. Correct immediately by 7/9/24 and submit written statement of compliance with overall response by 7/16/24. Correct by 07/09/2024 ________________________________________________

Corrected Corrected by Jul 9, 2024

Marked corrected in the state record.

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.

The loose fill resilient surfacing (wood mulch) on the preschool playground to be 1 inch in depth under the red spiral slide. Correction: All climbing equipment over 18 inches must have at least 6 inches of resilient material in the use zone. Correct immediately by 7/9/2024. Corrected at the time of visit by the Director moving resilient material over to equal at least 6 inches in depth. No written response is required Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

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

2.223.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.

Observed the staff member in the Pre-K 2 classroom did not know how many children they had upon my arrival to the classroom and name-to-face was not current. This is a direct violation of stipulation (D) on the probationary license. Probationary stipulation (D) states “At all times, staff must know the attendance of the classroom to which they are assigned." Correction: Staff members must know how many children are in the the classroom at all times. Correct immediately by 7/9/2024 and submit written statement of compliance with overall response by 7/16/2024. Correct by 07/09/2024

Corrected Corrected by Jul 9, 2024

Category: recordkeeping. Marked corrected in the state record.

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.

The loose fill resilient surfacing (wood mulch) on the preschool playground to be 1 inch in depth under the red spiral slide. Correction: All climbing equipment over 18 inches must have at least 6 inches of resilient material in the use zone. Correct immediately by 6/25/24. Corrected at the time of visit by the teacher moving resilient material over to equal at least 6 inches in depth. No written response is required. Correct by 06/25/2024

Corrected Corrected by Jun 25, 2024

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

2.229.R.7 · A variety of material and equipment from the following categories must be available: Music

Observed the Two's classroom to not have music materials available for the children to play with. Correction: Each classroom must have music materials available for the children. Correct immediately by 5/28/2024 and submit written statement of compliance with overall response by 6/28/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

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

Reviewed a random sampling of 8 children's files and observed 1 child to be missing documentation of a health statement and 1 child to have an expired health statement. Correction: Obtain a current health statement for all children in care. Correct and submit written statement of compliance with overall response by 6/28/2024. Correct by 06/28/2024

Corrected Corrected by Jun 28, 2024

Category: ratio. 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 a random sampling of 8 children's files and observed 1 child to not have a dated emergency medical authorization. Correction: Obtain a current, dated emergency medical authorization for all children in care. Correct immediately by 5/28/24, or on next day child is in care, and submit written statement of compliance with overall response by 6/28/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

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

2.220.C · Medications must be kept in the original labeled bottle or container. Prescription medications must contain the original pharmacy label.

Observed a child's medication not kept in the original, pharmacy labeled container. Correction: All medications must be kept in the original labeled bottle or container with the original pharmacy label. Correct immediately by 5/28/24 and submit written statement of compliance with overall response by 6/28/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 a random sampling of 8 children's files and observed 1 child to not have documentation of immunization status. Correction: Obtain immunization status for all children in care. Correct immediately by 5/28/24 and submit written statement of compliance with overall response by 6/28/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

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

2.209.A · 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:

Reviewed a random sampling of 8 children's files and observed 1 child to not have documentation of a complete admission record prior to enrollment. Correction: Obtain a complete admission record for all children in care. Correct immediately by 5/28/24, or on next day child is in care, and submit written statement of compliance with overall response by 6/28/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.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.

Observed the staff member in the classroom Two's 1 did not know how many children they had upon my arrival to the classroom. This is a direct violation of stipulation (D) on the probationary license. Probationary stipulation (D) states “At all times, staff must know the attendance of the classroom to which they are assigned." Correction: Staff members must know how many children are in the the classroom at all times. Correct immediately by 5/28/24 and submit written statement of compliance with overall response by 6/28/2024. Correct by 05/28/2024

Corrected Corrected by May 28, 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

Observed two children to not be under the direct supervision of an adult as they walked from the bathroom in the hallway, back to the school age classroom. This is a direct violation of stipulation (C) on the probationary license. Probationary stipulation (C) states “All children must be under the direct supervision of qualified staff at all times, both indoors and outdoors,.” Correction: All children must be under the direct supervision of an adult at all times. Correct immediately by 4/18/24 and submit written statement of compliance with overall response by 4/ 25/2024. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: supervision. 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.

Identified through discussions with staff members, that drills are not be held in accordance with rule. Correction: All drills must be held in accordance with rule and documented. Correct immediately by 2/20/24 and submit written statement of compliance with overall response by 2/27/24. Correct by 02/20/2024 ________________________________________________

Corrected Corrected by Feb 20, 2024

Category: recordkeeping. 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.

Observed cotton balls in a sensory table in the early Preschool room, accessible to children under the age of 3, which is a choking hazard. Correction: 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. Correct immediately by 1/9/2023. Corrected at the time of visit by the teacher putting the cotton balls in an area inaccessible to children. No written response is required Correct by 01/09/2024

Corrected Corrected by Jan 9, 2023

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

7.702.71.M · Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age.

Observed a small glass fish bowl in Pre K1 and a white, ceramic pot in Pre K2. Correction: Toys, toy parts, furnishings, equipment, and materials made of brittle, easily breakable plastic or glass are not permitted for children less than five (5) years of age. Correct immediately by 12/6/23 Corrected at the time of visit by the Asst Director removing the items from the classrooms. Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

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

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

Observed a bottle of soap in the boys bathroom in the hallway labeled "keep out of reach of children" Correction: Items labeled “keep out of reach of children” must be inaccessible to children. Correct immediately by 12/6/23 Corrected at the time of visit by the Asst Director removing the items from the bathroom. Correct by 12/05/2023

Corrected Corrected by Dec 5, 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.

Screws protruding on the corner of two sink counters in the Early Preschool classroom. Correction: All indoor equipment materials and furnishings must be safe and free from hazards. Correct immediately by 9/6/23. This is a direct violation of stipulation (N) on the probationary license. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

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

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 13 staff files and observed one staff member, Kailee R to be missing documentation of an out-of-state background check clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Kailee has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check Clearance Letters for staff members Kailee with written response to Specialist. Correct by 09/06/2023

Corrected Corrected by Sep 6, 2023

Category: supervision. Marked corrected in the state record.

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

Observed 17 bottles of soap refills labeled "keep out of reach of children" by the manufacturer in an unlocked cabinet in the girls bathroom. This is a direct violation of stipulation (L) on the probationary license. Probationary stipulation (L) states "Hazardous items, including items labeled "keep out of reach of children." must be inaccessible to children at all times, both indoors and outdoors. Choking hazards must be inaccessible to children under three years of age." Correction: Items labeled “keep out of reach of children” must be inaccessible to children. Correct immediately by 8/9/23. Corrected at the time of visit by the Director putting a lock on the cabinet and making them inaccessible to children. No written response is required. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

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.

Observed a broken plastic tub lid in the Early Preschool classroom. This is a direct violation of stipulation (N) on the probationary license. Probationary stipulation (N) states "License shall ensure all indoor and outdoor equipment is safe, sturdy and free from hazards." FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately by 8/9/23. Corrected at the time of visit by the Director removing the broken lid from the classroom. No written response is required. Correct by 08/09/2023

Corrected Corrected by Aug 9, 2023

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