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.

Two staff members did not have a Recognizing the Impact of Bias on Early Childhood Professionals training available for review. Correction: Obtain, maintain documentation of Recognizing the Impact of Bias on Early Childhood Professionals training. Correct and document compliance to the Department on the response form. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after Docusign Envelope ID: EF2B84E0-6896-4921-BC38-655902358919 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the date of hire.

Three staff members did not have a Child Development training available for review. Correction: Obtain, maintain documentation of Child Development training. Correct and document compliance to the Department on the response form. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

One staff member did not have an Introduction to the Early Intervention and Preschool Special Education Programs training available for review. Correction: Obtain, maintain documentation ofIntroduction to the Early Intervention and Preschool Special Education Programs training. Correct and document compliance to the Department on the response form. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

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 DocuSign Envelope ID: B2B3A394-AF18-4EAC-A727-0F30AAAFDEC8 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ (6) inches in the use zone surrounding the equipment.

The pea gravel resilient material measured four (4) inches in the use zone below the medal slide, four and a half (4.5) inches in the use zone under the West red slide, three (3) inches in the use zone of the green climbing structure that is on the same equipment as the green slide, one (1) inches in the use zone below the green slide that is mentioned above, four (4) inches in the use zone below the East red slide, five (5) inches in the use zone below the swings, and three and a half (3.5) inches on the purple climbing structure on the outdoor playground. Violation was previously cited on 6/7/2023 and 10/15/2019. 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 05/02/2024

Corrected Corrected by May 2, 2024

Category: physical safety. 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.

Staff member DB, was observed alone with children during the inspection. DB did not have a current TRAILS clearance letter on file available for review. The previous TRAILS clearance letter on file for DB expired on 1/29/2004. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member DB has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff members DB with written response to the Specialist. Correct immediately and document compliance to the Department on the response form. Correct by 05/02/2024

Corrected Corrected by May 2, 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 DocuSign Envelope ID: B2B3A394-AF18-4EAC-A727-0F30AAAFDEC8 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

The last fire and tornado drill was completed on 9/26/2023. The last lockdown drill was completed on 6/30/2023. Violation was previously cited on 6/7/2023 and 6/10/2022. Correction: Fire drills must be held monthly and 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. Correct immediately and document compliance to the Department in your response. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

Reviewed five (5) staff files and staff member MC did not have an Emergency and Disaster Preparedness for Child Care Providers on file. Violation was previously cited on 6/7/2023 and 7/12/202. Correction: Obtain, maintain documentation of Emergency and Disaster Preparedness Training. Correct immediately. Document compliance to the Department on the response form. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

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.

Reviewed five (5) staff files and staff member DB did not have a current Standard Precaution Training on file. Previous training for DB expired on 1/10/2024. No training certificate was available for MC. Violation was previously cited on 6/7/2023, 6/10/2022, and 7/12/2021. Correction: Obtain, maintain and update annually documentation of Standard Precaution Training. Correct immediately. DocuSign Envelope ID: B2B3A394-AF18-4EAC-A727-0F30AAAFDEC8

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.213.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed five (5) staff files and staff member MC did not have an Intro to Early Intervention and Preschool Special Education training on file. Violation was previously cited on 6/7/2023 Correction: Obtain, maintain and update documentation of Intro to Early Intervention and Preschool Special Education Training. Correct and document compliance to the Department on the response form. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in rule section 2.208(D)) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Reviewed five (5) staff files and two (2) staff member MC and VS did not have a Recognizing the Impact of Bias training on file. Violation was previously cited on 6/7/2023 Correction: Obtain, maintain and update documentation of Recognizing the Impact of Bias Training. Correct and document compliance to the Department on the response form. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed five (5) staff files and staff member DB did not have current Child Abuse Prevention training on DocuSign Envelope ID: B2B3A394-AF18-4EAC-A727-0F30AAAFDEC8 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ file. Previous training expired on 1/10/2024. No training certificate was available for MC and VS. Violation was previously cited on 6/7/2023, 6/10/2022, and 7/12/2021. Correction: Obtain, maintain and update annually documentation of Child Abuse Prevention Training. Correct immediately. Document compliance to the Department on the response form. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.230.C.8 · All outdoor play areas used for children’s activities must be checked daily and kept safe and free from hazardous materials or debris by removal of debris, dilapidated structures, and broken or worn play equipment. The staff must identify hazardous, high-risk areas; those areas must be made inaccessible to children to reduce the possibility of injuries and accidents.

There was a blue and grey broken basketball hoop that was near the swings. The grey basketball hoop had a small slide propped up underneath it. There was a broken blue tunnel, the fabric on the tunnel was drooping down and there was exposed wiring. Violation was previously cited on 6/10/2022 and 7/12/2021 Correction: All outdoor play areas used for children's activities must be checked daily and kept safe and free from hazardous materials. Correct immediately and document compliance to the Department on the response form. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

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

2.213.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved first aid and safety certificate, including cardiopulmonary resuscitation (CPR) for all ages of children, and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

At the time of inspection, there was no staff member with a current CPR/ First Aid Certificate on file. Reviewed five (5) staff files, both directors ML and DB did not have a current CPR/ First Aid Certificate. Previous CPR/ First Aid Certificates expired on 3/12/2024 for ML and DB. Violation was previously cited on 7/12/2021. Correction: Obtain, maintain and update documentation of CPR/ First Aid Certificates. Correct immediately. Document compliance to the Department on the response form. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: ratio. 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.

Reviewed five (5) staff files and two (2) of the staff members, DB and VS, did not have documentation for fifteen (15) hours of annual training including three (3) hours of social-emotional training on file. Violation was previously cited on 6/7/2023 Correction: Obtain, maintain and update annually documentation of fifteen (15) hours of annual training including three (3) hours of social-emotional training. Correct and document compliance to the Department on the response form. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed five (5) staff files, staff member DB, did not have a current TRAILS clearance letter on file available for review. The previous TRAILS clearance letter on file for DB expired on 1/29/2004. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member DB has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff members DB with written response to the Specialist. Correct immediately and document compliance to the Department on the response form. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

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

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

There was no posting on how to file a complaint at the preschool at the time of inspection. Correction: At all times during the operating hours of a preschool the facility must post in a prominent and conspicuous location information regarding the procedure for filing a complaint. Correct immediately. Corrected at the time of the inspection the licensing specialist gave a copy of the procedures for filing a complaint, and the director posted it next to the other required postings. No response is needed for this violation. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Marked corrected in the state record.

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

Reviewed four (4) child files, one (1) child did not have a current health evaluation on file. Correction: Obtain, maintain and update annually and upon changes documentation of child's health evaluation. Correct DocuSign Envelope ID: B2B3A394-AF18-4EAC-A727-0F30AAAFDEC8

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.210.A.3 · A record must be maintained, either written or electronic, for each staff member that includes the following: Immunization record or statement, and health history.

Reviewed five (5) staff files, staff member MC, did not have a immunization record or statement in their file available for review. Correction: Obtain, maintain documentation of immunization record or statement. Correct and document compliance to the Department on the response form. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

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 submitted annually.

Reviewed five (5) staff files, staff member ML and DB, did not have a current health statement in their file available for review. Previous health statement for DB expired on 6/30/2023, and 2/27/2023 for ML. Correction: Obtain, maintain and update annually documentation of health statement. Correct and document compliance to the Department on the response form. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

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

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

Reviewed five (5) staff files, none of the five (5) staff members had a current CPR/ First Aid Certificate on file, or a CPR/ First Aid Module on file. Previous training for VS expired on 2/17/2024. Correction: Obtain, maintain and update bi-annually documentation of CPR/ First Aid Module. Correct and document DocuSign Envelope ID: B2B3A394-AF18-4EAC-A727-0F30AAAFDEC8

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed five (5) staff files and staff member MC did not have a Child Development training on file. Correction: Obtain, maintain documentation of Child Development training training. Correct immediately. Document compliance to the Department on the response form. Correct by 06/01/2024

Corrected Corrected by Jun 1, 2024

Category: recordkeeping. Marked corrected in the state record.

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

In an open closet near the kitchen and children's computers there were three (3) bottles of lotion with the label "Keep out of Reach of Children" on a shelf that was accessible to children. Near the restrooms at the children's sink there was antibacterial soap that was accessible to children with the label "Keep out of Reach of Children." Correction: Items labeled "Keep out of Reach of Children" must be inaccessible to children. Correct immediately. Corrected at the time of inspection director moved the three (3) lotions to a shelf that was inaccessible to children. Document a plan for compliance to the Department on the response form for the antibacterial soap. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Marked corrected in the state record.

2.230.C.5 · Metal equipment must be placed in the shade.

There was a metal slide that was on the West side of the outdoor playground. It was not under any shade and was in direct sunlight. Correction: Metal equipment must be placed in the shade. Correct immediately and document compliance to the Department on the response form. Correct by 05/02/2024 DocuSign Envelope ID: B2B3A394-AF18-4EAC-A727-0F30AAAFDEC8

Corrected Corrected by May 2, 2024

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