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 twenty-two (22) staff files. The most recent CPR/First Aid certificaton or module completed by staff member J.M. at the time of inspection expired on 3/1/2025. 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 on your written response. Correct by 04/05/2025

Corrected Corrected by Apr 5, 2025

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.

Reviewed twelve (12) child files. One (1) child file did ont contain documentation of the child's current health status signed and dated by a health care provider. Correction: 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. Correct and document compliance to the Department in your written response. Correct by 04/05/2025

Corrected Corrected by Apr 5, 2025

Category: ratio. Marked corrected in the state record.

2.217.A.15.f · When combining age groups, not including individual child transitions, children must be cared for in the room licensed for the youngest child in care, including the outdoor play area

Interviewed five (5) staff members. Learned through staff interviews that on 12/ 16/2024 an infant under one (1) year old was being cared for in the Jungle Room toddler room which has an age range of one (1) to three (3) years old. This was during the early morning time during low attendance when children of different age ranges were combined in the same room (Jungle Room). Correction: When combining age groups, not including individual child transitions, children must be cared for in the room licensed for the youngest child in care, including the outdoor play area. Correct immediately. Document a plan of ongoing compliance to the department in your written response. Correct by 12/19/2024 Docusign Envelope ID: 82229BF7-4A27-4F31-B8C3-93F546E093B2

Corrected Corrected by Dec 19, 2024

Marked corrected in the state record.

2.217.A.2 · For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2) present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty.

Interviewed five (5) staff members. Learned through staff member interviews that in the early morning when children of different age ranges are combined in the Jungle Room toddler room until additonal staff arrive that upt ten (10) children that are preschool and toddler age are combined in the room. On 12/16/2024 the room of combined children also included one infant under one (1) year old. Correction: For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2) present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty. orrect immediately. Document a plan of ongoing compliance to the department in your written response. Correct by 12/19/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Dec 19, 2024

Marked corrected in the state record.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Docusign Envelope ID: 91AF67F6-CF4A-4B82-99F8-7C1835455014 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Interviewed four (4) staff members and reviewed video footage. Learned through interviews and the review of the video that the straps that secure children into one (1) of the highchairs used in the infant room were washed and not reinstalled on the highchair. Staff member1 placed child1 in a highchair with no straps to secure the child in the chair. The highchair was not being used as the manufacturer intended. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Please ensure that the safety straps are utilized when feeding infants in a highchair. Please ensure that the equipment is utilized as the manufacturer intended. Correct immediately and document a plan of continued compliance to the Department in your written response. Correct by 05/30/2024 Stage II Licensing Concern : The center did not follow its policies and procedures. - FOUNDED

Corrected Corrected by May 30, 2024

Category: physical safety. 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

Interviewed four (4) staff members. Learned through interviews that a staff member notified the director immediately following a possible injury to an infant child in the classroom. Learned through interviews that the incident was documented by the teacher and that the parent/guardian was notified at the end of the day during pick-up. The parent/guardian was not notified directly after the incident and did not have an opportunity to decide if their child should be evaluated by a healthcare provider directly after the possible injury. Stipulation W. of the current settlement agreement between CDEC and the center states " When accidents, injuries, or illnesses occur, Licensee must notify the parent or guardian of the child and if necessary, call the physician or medical facility as instructed in writing by the parent or guardian". Correction: 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. Correct and document compliance to the Department in your written response. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

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

2.206.B.28 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for establishing safe sleep environments for infants including how staff will supervise and physically check on infants who are sleeping;

Learned through interviews and the investigation that an infant room staff member let an infant age child under one (1) year old sleep on a nap mat and did not move the child into a safe sleep environment. The Center's policies Docusign Envelope ID: 91AF67F6-CF4A-4B82-99F8-7C1835455014 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ state they follow safe sleep practices. Correction: Please ensure all staff members follow the center's policies concerning safe sleep. Correct immediately and document compliance to the Department in your written response. Correct by 08/13/2024 Stage II Licensing Concern : An infant room staff member did not place an infant in the appropriate safe sleep environment after the child fell asleep. - FOUNDED

Corrected Corrected by Aug 13, 2024

Category: supervision. Marked corrected in the state record.

2.223.C.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals.

Learned through interviews and investigation that a staff member in the infant room placed an infant child under one (1) year old on a "mat" with a pillow. The child fell asleep and was left to sleep on the mat and not moved to a safe sleep environment. Correction: In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals. Correct immediately and document compliance to the Department in your written response. Correct by 08/13/2024

Corrected Corrected by Aug 13, 2024

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

2.223.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. 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. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

Learned through interviews and investigation that a staff member in the infant room placed an infant child under one (1) year old on a "mat". The child fell asleep on the mat. The infant was left to sleep on the mat and not moved Docusign Envelope ID: 91AF67F6-CF4A-4B82-99F8-7C1835455014 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ to a safe sleep environment. Correction: Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other sleep/rest equipment meeting Consumer Product Safety Commission standards. Correct immediately and document compliance to the Department in your written response. Correct by 08/13/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Aug 13, 2024

Category: physical safety. 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 four (4) staff files. The most recent "Standard Precautions" training completed by staff member M.P. expired 4/4/2024. Correction: 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. Correct immediately and document compliance to the Department in your written response. Correct by 05/30/2024 Docusign Envelope ID: 91AF67F6-CF4A-4B82-99F8-7C1835455014

Corrected Corrected by May 30, 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 four (4) staff files. The most recent "Child Abuse Prevention" training documented for staff member M.P. expired on 4/7/2024. 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. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

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 twenty (20) staff files. The documentation of the most recent "Shaken baby/abusive head trauma" training completed by staff member S.D. that was available at the time of inspection expired as of 2/17/21. 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. Please provide a copy of a current department-approved "Shaken baby/abusive head trauma" training for staff member S.D. with your response. Correct by 03/20/2024 DocuSign Envelope ID: 517D5BDB-AAFC-47DD-8933-D95D7A35C16D

Corrected Corrected by Mar 20, 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 twenty (20) staff files. The documentation of the most recent department-approved " Child Abuse Prevention" training completed by staff member S.D. that was available at the time of inspection expired 2/17/20. Staff member S.D. was hired over 30 days ago. 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 department-approved "Child Abuse Prevention" training for staff member S.D. with your response. Correct by 03/20/2024

Corrected Corrected by Mar 20, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.31.B.23 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for allowing visitors to the center.

Interviewed three (3) staff members. Learned through interviews that a person that was not on a child's enrollment paperwork was permitted to visit a child at the center. The person was not documented as a visitor to the center and was not listed on any of the child's enrollment paperwork or permissions to pick up. Correction: The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for allowing visitors to the center. Please ensure all visitors to the center are documented. Correct immediately and document compliance to the Department in your response. Correct by 10/25/2023 DocuSign Envelope ID: 2E02625D-6561-42E6-81E0-AF46212843D5

Corrected Corrected by Oct 25, 2023

Marked corrected in the state record.

7.702.41.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

Interviewed three (3) staff members. Learned through interviews that staff in the facility were unclear about the relationship of an individual to CH1, the individual was not listed in any of CH1's paperwork and the individual was allowed into CH1's classroom to visit with CH1 during childcare hours. The individual was also not signed in as a visitor. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children. Please ensure that all individuals attempting to obtain access to a child in care have the appropriate permissions and or documentation and are permitted to visit a child. Correct immediately and document compliance to the Department in your response. Correct by 10/25/2023 ________________________________________________

Corrected Corrected by Oct 25, 2023

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 that staff member1 pulled on the arm of child1 inappropriately. Correction: 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. Correct immediately and document a continued plan of compliance to the Department in your response. Correct by 11/21/2023 Stage II Licensing Concern : Center/staff not following policies and procedures related to positive guidance, physical restraint, and their response to challenging behaviors. - FOUNDED

Corrected Corrected by Nov 21, 2023

Marked corrected in the state record.

7.702.31.B.8.a · The center’s procedure on positive guidance, behavior expectations, positive instruction, supporting positive behaviors, as well as strategies and techniques for supporting children with challenging behaviors, including how the center will: Promote responsive and positive child, staff, and family relationships and interactions.

Identified that staff member1 restrained child1 to keep them on a nap mat. Reviewed the center's policies and procedures. The center's policies and procedures state that "physical restraint is not used or permitted for discipline". The center's discipline policy states "a guidance policy that reflects our philosophy of positive guidance and discipline with children is used". Also identified that staff member1 pulled on the arm of child1 inappropriately. Correction: The center's written policies and procedures must be developed, implemented, and followed. Correct immediately and document a plan of continued compliance in your response to the department. Correct by 11/30/2023 Stage II Licensing Concern : Preschool-aged children are forced to stay on a cot during nap time. - FOUNDED

Corrected Corrected by Nov 30, 2023

Category: supervision. Marked corrected in the state record.

7.702.64.H · Any form of restraint is not permitted. DocuSign Envelope ID: 6F889B22-1D97-44B8-9A13-0C7357764B67 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified that staff member1 held child1 by the hands to restrain them from getting up from the nap cot during nap time. Correction: Any form of restraint is not permitted. Correct immediately and document a plan of compliance to the Department in your response. Correct by 11/21/2023 Stage II Licensing Concern : Staff member1 shared confidential information about child1 with parents who are not related to the child. - FOUNDED

Corrected Corrected by Nov 21, 2023

Marked corrected in the state record.

7.701.65.A.3 · . Each licensed child care facility shall maintain records as required by the State Department pertaining to the admission, progress, health, and discharge of children in care at the facility. 3) All information regarding children and their families shall be kept confidential.

Identified that staff member1 shared confidential information about a child2 with unrelated parents at the center. Correction: All information regarding children and their families shall be kept confidential. Correct immediately and document a continued plan of compliance to the Department in your response. Correct by 11/21/2023 ________________________________________________ Stage II Licensing Concern : The facility did not report a reportable incident as required by regulation and statute - UNFOUNDED Stage II Licensing Concern : The facility/director asked a person to not report a reportable incident - UNFOUNDED Stage II Licensing Concern : Staff members chase children who are not obeying directions but are not in imminent danger - UNFOUNDED ________________________________________________

Corrected Corrected by Nov 21, 2023

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

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days DocuSign Envelope ID: 6F889B22-1D97-44B8-9A13-0C7357764B67 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed two (2) staff files. Documentation that staff member A.B. has completed disaster preparedness/FEMA training was not available at the time of inspection. Correction: Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. Correct immediately and document compliance to the Department in your response. Please provide a copy of a department-approved disaster preparedness training certificate for staff member A.B. with your response. Correct by 07/17/2023

Corrected Corrected by Jul 17, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.32.E · . The request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the State prescribed form, accompanied by the required fee paid by check or money order (for fee assessment see Section 7.000.73).

Reviewed two (2) staff files. Trails clearance letters and documentation that Trails requests were submitted were not available for review for staff members A.B. and A.M. at the time of inspection. Correction: The Trails child abuse and neglect records request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the State prescribed form, accompanied by the required fee paid by check or money order. Correct immediately and document compliance to the Department in your 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. and A.M. have reviewed the PowerPoint within 24 hours. Submit documentation of TRAILS clearance letters for staff members A.B. and A.M. with your written response to the specialist. Correct by 07/17/2023

Corrected Corrected by Jul 17, 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. DocuSign Envelope ID: 6F889B22-1D97-44B8-9A13-0C7357764B67 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed two (2) staff files. Documentation that staff member A.B. has completed CPR and First Aid certification or the department-approved introduction to First Aid and CPR module on PDIS was not available at the time of inspection. 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 CPR and First Aid certificate or documentation of the First Aid and CPR module from PDIS for staff member A.B. with your response. Correct by 08/16/2023

Corrected Corrected by Aug 16, 2023

Marked corrected in the state record.