2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed fourteen (14) staff files. The most recent "Prevention of Shaken Baby/Abusive Head Trauma" training completed by staff member E.R. that was available for review at the time of inspection expired on 6/8/2025. The Preschool One (1) classroom that the staff member works in has a licensed age range of two and a half (2 1/2) to six (6) years old. Correction: Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development. Correct Immediately and document compliance to the Department in your written response. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

Category: recordkeeping. Marked corrected in the state record.

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed fourteen (14) staff files. The staff files for staff members A.B., J.M., and D.M., did not contain FBI Docusign Envelope ID: AF8BAA19-CE6D-4859-93DC-823470239247 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ or CBI clearance letters. All three (3) staff members did have a current Trails clearance letter in their file as well paperwork showing that they have scheduled or have been fingerprinted for FBI and CBI background checks Correction: Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist. Correct immediately and document compliance to the department in your written response. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members A.B., J.M., and D.M. have reviewed the powerpoint within 24 hours. Submit documentation of (CBI and FBI clearance letters for staff members A.B., J.M. and D.M. with your written response to the Specialist. Correct by 07/21/2025

Corrected Corrected by Jul 21, 2025

Category: background checks. Marked corrected in the state record.

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed sixteen (16) staff files. The staff files for staff members D.M., J.M., and A.B. did not contain documentation of CBI or FBI criminal background check clearance letters or a portability transfer associated with the child care license at the time of inspection. Correction: The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist. Correct immediately and document compliance to the department in your written response. All individuals requiring a background check clearance letter must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint. Submit verification that staff members D.M., J.M., and A.B., have reviewed the PowerPoint within Docusign Envelope ID: ABD81122-511B-4227-97C6-1827C2F12F94

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

2.127.B · At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

The most recent licensing inspection report or notice as to where the report may be reviewed at the facility was not posted or available at the time of inspection. Correction: At all times during the operating hours of a family child care home, child care center, school-age child care center, or children’s resident camp, the facility must post its most recent licensing inspection report or notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee. Correct immediately. Corrected at the time of the inspection by the director posting a notice stating where a copy of the most recent inspection may be obtained in the office. No response is needed for this violation. Correct by 07/31/2024

Corrected Corrected by Jul 31, 2024

Marked corrected in the state record.

2.207.A · For security purposes, a sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the child arrived at and left the center, and the parent /guardian or staff member's signature or other unique identifier. For children who are transported, parent(s)/guardian(s) must verify the accuracy of the sign-in/sign-out sheet at least weekly.

Completed a walkthrough of five (5) classrooms. At the time of inspection, the "Toddler Two" classroom contained twelve (12) children and the teachers stated there were "twelve" (12) children in the classroom. The specialist reviewed the sign-in/sign-out sheet and there were eleven (11) children signed in and accounted for on the attendance/sign-in sheet. Correction: A sign-in/sign-out sheet or other mechanism for parents/guardians, or staff if children are being transported, must be maintained daily by the center. It must include, for each child in care, the date, the child's name, the time when the Docusign Envelope ID: ABD81122-511B-4227-97C6-1827C2F12F94

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

7.702.41.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed four (4) staff files. No documentation was available at the time of inspection that staff members D.M., S.A., M.K., and M.J. have signed a statement indicating that they have read and understand the center's policies and procedures. Correction: Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures. Correct immediately and document compliance to the Department in your response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Marked corrected in the state record.

7.702.42.A · All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the DocuSign Envelope ID: BE193BA6-57DC-4D69-B9B7-A6770D779BAD FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ appropriate disposal of biological contaminants.

Reviewed four (4) staff files. No documentation was available at the time of inspection that staff members D.M., S.A., M.K., and M.J. have completed a pre-service Building and Physical Premises Safety training prior to working with children. Correction: All staff must complete a pre-service Building and Physical Premises Safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants. Correct immediately and document compliance to the Department in your response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.D · Staff working with children less than three (3) years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development. DocuSign Envelope ID: BE193BA6-57DC-4D69-B9B7-A6770D779BAD FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed four (4) staff files. No documentation was available at the time of inspection that staff member M.K. who was observed working with toddlers under three (3) years old has completed Shaken Baby/Abusive Head Trauma training. The most recent Shaken Baby/Abusive Head Trauma training certificate available for review for staff member D.M. expired as of 8/15/2023. Correction: Staff working with children less than three (3) years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development. Correct immediately and document compliance to the Department in your response. Correct by 09/14/2023

Corrected Corrected by Sep 14, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed fourteen (14) staff files. The "Standard Precautions" training documentation for staff members J.B., S.M., S.P., and C.A. were expired at the time of inspection. Correction: All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development. Correct immediately and document compliance to the Department in your response. Please provide copies of current "Standard Precautions" training for staff members J.B., S.M., S.P., and C.A. with your response. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.G · Within thirty (30) calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention, which includes common symptoms and signs of child abuse, how to report, where to report, and when to report suspected or known child abuse or neglect. This training must be renewed annually.

Reviewed fourteen (14) staff files. The "Child Abuse Prevention" training for staff members J.B., S.P., and C.A. were expired at the time of inspection. Correction: 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. Correct immediately and document compliance to the Department in your response. Please provide a copy of a current "Child Abuse Prevention" training for staff members J.B., S.P., and C.A., with your response. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 fourteen (14) staff files. The "Safe Sleep" training for staff members S.M., S.P., and J.B. were expired at the time of inspection. Correction: 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. Correct immediately and document compliance to the Department in your response. Please provide a copy of a current "Safe Sleep" training for staff members S.M., S.P., and J.B. with your response. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

7.701.33.D · . Each owner or employee, who is eighteen (18) years of age or older, of a facility or agency must submit to CBI a complete set of fingerprints to obtain any criminal record held by the CBI and FBI. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and FBI clear letter, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed fourteen (14) staff files. No documentation of CBI and or FBI criminal records check clearance DocuSign Envelope ID: 99FD7A10-ABDA-4F2D-B4AC-E22BBAF60F08 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ letters were available for staff member A.B. at the time of inspection. Correction: Each owner, employee of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and FBI response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist. Correct immediately and document compliance to the department. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage PowerPoint. Submit verification that staff member A.B. has reviewed the PowerPoint within 24 hours. Submit documentation of CBI and FBI clearance letters for staff member A.B. with your written response to the Specialist. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: background checks. Marked corrected in the state record.

7.702.42.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed fourteen (14) staff files. No evidence was available at the time of inspection that staff member K.B. has completed CPR and First Aid certification or department-approved "introduction to First Aid and CPR module. Correction: Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years. Correct and document compliance to the Department in your response. Please provide a copy of a current "Introduction to First Aid and CPR" module certificate or a copy of a current CPR and First Aid certification with your response. Correct by 09/02/2023 DocuSign Envelope ID: 99FD7A10-ABDA-4F2D-B4AC-E22BBAF60F08

Corrected Corrected by Sep 2, 2023

Marked corrected in the state record.

7.702.72.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 measured a depth of four (4) to five (5) inches in the use zone for the climbing equipment and swings located in the outdoor play area. Correction: 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. Correct immediately and document compliance to the Department on the response form. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

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

7.702.46.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 DocuSign Envelope ID: AF6E64B4-9D4A-42F4-AF05-F144E94F75FA FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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

Identified through staff interviews that the two (2) toddler rooms at the center were combined into one (1) toddler room. There were twelve (12) children ages one (1) - three (3) with two (2) teachers exceeding the required child-to-teacher ratio. Correction: Ensure that the correct staff-to-child ratio for the age group being cared for is maintained at all times. See the ratio chart above. Correct immediately and document a plan for compliance to the Department in your response. Correct by 08/03/2023

Corrected Corrected by Aug 3, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.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

Identified through staff interviews that the two (2) toddler rooms at the center were combined into one (1) toddler room. There were twelve (12) children ages one (1) - three (3) with two (2) teachers exceeding the maximum group size. Correction: Ensure that the maximum group size for each age group is not exceeded. See the maximum group size chart above. Correct immediately and document a plan for compliance to the Department in your response. Correct by DocuSign Envelope ID: AF6E64B4-9D4A-42F4-AF05-F144E94F75FA

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.