2.134.A · All child care providers must have a written plan for: evacuating and safely moving children to an alternate site; lockdown; shelter in place; and an active shooter on premises. The plan must include provisions for multiple types of hazards, such as floods, fires, tornadoes, and active shooter situations. The plan must be updated as changes occur and reviewed annually. All employees of a child care provider must also be annually trained on the provider’s written plan prior to caring for children, and retrained as changes occur.

No evidence of staff completing annual training on site specific emergency procedures in 14 out of the 24 staff files reviewed. Correction: Immediately obtain and maintain documentation of current training completion in personnel files. Correct by 01/22/2026

Corrected Corrected by Jan 22, 2026

Category: recordkeeping. Marked corrected in the state record.

2.218.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Observed a health care plan for a child in the "Twos" Toddler classroom was not signed by child's parent. Correction: Immediately obtain and maintain documentation, including parent's signature on individualized health care plan. Correct by 01/22/2026

Corrected Corrected by Jan 22, 2026

Category: health medication. 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.

Identified through discussion with Executive Director, the time a child arrives and leaves the center each day is electronically recorded on "BrightWheel" and "Early Learning Ventures". Observed no evidence of staff completing written attendance verification periodically throughout the day, including during transitions. Correction: Ensure staff complete written attendance verification periodically throughout the day, including during transitions. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 01/22/2026

Corrected Corrected by Jan 22, 2026

Category: recordkeeping. Marked corrected in the state record.

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Identified ongoing professional development hours are tracked per employee's hire date. Observed no evidence of two staff members completing minimum of 15 clock hours of training. Correction: Ensure all staff who work with children complete a minimum of 15 hours of ongoing professional development, including at least 3 hours focusing on social-emotional development, annually. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 02/21/2026

Corrected Corrected by Feb 21, 2026

Category: recordkeeping. Marked corrected in the state record.

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.

Identified 11/13/25 fire inspection report noted "Completed with fail". Observed no evidence of current, approving fire inspection report. Correction: Obtain and maintain documentation of current, approving fire inspection report. Submit report to Licensing Specialist along with final, written response. Correct by 02/21/2026

Corrected Corrected by Feb 21, 2026

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

No evidence of medical statement signed and dated by a health care provider in 2 out of the 24 staff files reviewed. Identified these 2 staff members have been employed longer than 30 calendar days. Correction: Obtain and maintain documentation in personnel files. Correct by 02/21/2026

Corrected Corrected by Feb 21, 2026

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