2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff Docusign Envelope ID: BB2B8FD0-26E8-4165-A2C8-C59F7B7022FA 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.

It was learned through conversation, that on 8/5/2025, there were 14 toddlers ages 12 months to 36 months in the toddler 1B classroom. In toddler 1B, for less than 2 minutes, there was 1 staff member alone with 9 toddlers ages 12 months to 36 months. In the preschool 3 classroom, there was 1 staff member alone with 13 preschoolers, ages 4 to 5 years. In the preschool 4 classroom there was 1 staff member alone with 15 preschoolers, ages 2 1/2 to 3 years. Correction: Staff to child ratio must be followed at all times. Correct immediately and document compliance to the Department on the response form. Corrected at the time of inspection both the preschool classrooms were brought up to ratio during the inspection. Document a plan for continued compliance to the Department on the response form. Correct by 08/07/2025

Corrected Corrected by Aug 7, 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.

It was learned through conversation, that on 8/5/2025, there were 14 toddlers ages 12 months to 36 months in the toddler 1B classroom. On the preschool playground, there were a total of 25 children that were ages 2 1/2 to 5 years. Correction: Group size must not be exceeded. Correct immediately and document compliance to the Department on the response form. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

Category: ratio. Marked corrected in the state record.

2.218.E · If the parent(s)/guardian(s) agree(s) that the center should care for a child in the toddler program who is twelve (12) months old but not walking independently, or is over thirty-six (36) months old, the center must have on file a written statement from a health care provider confirming that care for the child is appropriate in the toddler program.

It was learned through conversation that there is a child in the toddler classroom that is not walking Docusign Envelope ID: BB2B8FD0-26E8-4165-A2C8-C59F7B7022FA FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ independently. Correction: If a child enters the toddler program who is twelve (12) months old but not walking independently, the center must have on file a written statement from a health care provider that care for the child is appropriate in the toddler program. Correct immediately and document compliance to the Department on the response form. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

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

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

It was learned through conversation that the toddler 1B classroom capacity was exceeded on 8/6/2025. There were 14 toddlers in the classroom that has a licensed capacity of 9 toddlers. Correction: Licensed room capacity must not be exceeded at any time. Correct immediately and document compliance to the Department on the response form. Correct by 08/07/2025 ________________________________________________

Corrected Corrected by Aug 7, 2025

Marked corrected in the state record.

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

In the bottom of the diaper changing station in the preschool 4 classroom there were 2 bottles of diaper cream. Both bottles had the label "keep out of reach of children." Correction: Items labeled “keep out of reach of children” must be inaccessible to children. Correct immediately and document compliance to the Department on the response form. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

Marked corrected in the state record.

2.225.I · Physical redirection may be used to keep a child from immediate imminent danger. The child must be immediately released once removed from imminent danger.

It was learned through conversation that when children run out of the classroom and into the hallway or playground. That a staff member will grab the child's forearm and physically redirect them back into the classroom. Correction: Physical redirection may be used to keep a child from immediate imminent danger. Correct immediately and document compliance to the Department on the response form. Correct by 08/07/2025

Corrected Corrected by Aug 7, 2025

Category: physical safety. 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 Docusign Envelope ID: 1593EA44-2F70-4257-AA66-A3A7489A1F4F FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ sign-in/sign-out sheet at least weekly.

In the toddler one (1) classroom, there were nine (9) children in attendance and only seven (7) were signed in. Correction: All children must be signed in with the time that they arrived at the facility. Correct immediately and document compliance to the Department on the response form. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

Category: transportation. Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In the preschool three (3) classroom there was an electrical outlet near the bathroom that did not have a cover on it. Correction: All electrical outlets must be inaccessible to children and have protective covers. Correct immediately and document compliance to the Department on the response form. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

Marked corrected in the state record.

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

In the infant classroom, there was a sink with multiple cleaning products stored in the cabinet underneath. These products were labeled "keep out of reach of children," and the cabinet was unlocked and accessible to children. Additionally, the unlocked cabinet beneath the diaper changing table contained several diaper creams that had the label "keep out of reach of children," which were accessible to children. Correction: All items labeled "keep out of reach of children" must be inacessible to children. Correct immediately and document compliance to the Department on the response form. Correct by 07/01/2025

Corrected Corrected by Jul 1, 2025

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.

In the toddler 1A classroom, there were six (6) children in the classroom and five (5) were signed in. In the toddler 1B classroom, there were five (5) children in the classroom and four (4) children were signed in. In the preschool 4 classroom, there were five (5) children in the classroom and four (4) children were signed in. Correction: Ensure that all children in attenance are sign in/sign out. Correct immediately and document compliance to the Department on the response form. Correct by 01/09/2025

Corrected Corrected by Jan 9, 2025

Category: transportation. 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.

In the toddler classroom there were 3 children not signed in. Correction: A sign in/out sheet must be maintained daily by the center. Correct immediately. Corrected at the time of inspection the ECT of the toddler classroom signed in the 3 children during the inspection. Document a plan for continued compliance to the Department on the response form. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: transportation. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

The ECT in the toddler classroom left the classroom to answer the door to the facility. This left the toddler classroom with out an ECT. The ECT was away from the classroom for less than a minute. Correction: There must be assigned at least one (1) qualified ECT supervising each group of children. Correct immediately and document compliance to the Department on the response form. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

Category: supervision. 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 preschool playground was being used during the inspection and the children were using the climbing equipment that was higher than eighteen (18) inches, and the resilient material was frozen. Correction: All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone. Correct immediately and document compliance to the Department on the response form. Correct by 12/13/2024

Corrected Corrected by Dec 13, 2024

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

2.238.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of doors. All door hardware must be within the reach of children.

In the toddler classroom, there were two (2) bookshelves positioned to block the children from accessing the area of the classroom that had both of the exits out of the classroom. One of the exits leads out of the classroom into the hallway of the center, and the other door leads to the playground. Correction: Exits must be arranged and maintained so as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. Correct by 12/13/2024 Docusign Envelope ID: C351C8D8-8B35-4334-A19F-F180DF7A25C2

Corrected Corrected by Dec 13, 2024

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

2.217.A.10.a · At nap time, the child to staff ratio may be doubled for children two and one half (2 ½) years of age and older in preschool classrooms when the following conditions have been met: At least half of the children are sleeping;

SA was left alone in the Preschool 3 classroom during nap time. Four children were asleep, which was less than half of those in attendance. Correction: At nap time, ratio can be doubled when at least half of the children are sleeping. Correct immediately and document compliance to the Department on the response form. Correct by 07/11/2024

Corrected Corrected by Jul 11, 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.

A two-wheeled bicycle on the preschool playground had its training wheels pushed out to the side. The metal connecting the training wheels to the bicycle was sharp and posed a hazard to the children. Correction: Outdoor equipment must be sturdy, safe, and free of hazard. Correct immediately and document compliance to the Department on the response form. Correct by 07/11/2024 Docusign Envelope ID: 8008AEA7-915F-4C75-8E25-77264B4030CE

Corrected Corrected by Jul 11, 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 wood chips resilient material measured at four (4) inches in the use zone below the yellow/ purple climber on the preschool playground. Correction: All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone. Correct by 07/11/2024

Corrected Corrected by Jul 11, 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.

Staff member AB did not have a current Standard Precaution training. The Standard Precaution training that was on file expired on 8/28/23. Correction: Obtain, maintain and update annually documentation of Standard Precaution Training. Correct immediately. Document compliance to the Department on the response form. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

Category: recordkeeping. 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.

Staff member AB did not have a current First Aid and CPR module. The First Aid and CPR module that was on file expired on 1/20/2024. Correction: Obtain, maintain and update documentation of First Aid and CPR module. Correct and document compliance to the Department on the response form. Correct by 08/10/2024

Corrected Corrected by Aug 10, 2024

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.

Staff member AB did not have a current Child Abuse and Neglect training. The Child Abuse and Neglect training that was on file expired on 8/20/2023. Docusign Envelope ID: 8008AEA7-915F-4C75-8E25-77264B4030CE FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain, maintain and update annually documentation of Child Abuse and Neglect training. Correct immediately. Document compliance to the Department on the response form. Correct by 07/11/2024

Corrected Corrected by Jul 11, 2024

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.

A hose attached to an outdoor faucet on the preschool playground was laid out across the yard, creating a tripping hazard. Correction: Outdoor materials must of hazards. Correct immediately and document compliance to the Department on the response form. Correct by 06/28/2024

Corrected Corrected by Jun 28, 2024

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

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

There was a child that did not have a signed topical authorization on file. Correction: Obtain, maintain documentation of written authorization for topical preparations from parents/ guardians. Correct immediately. Document compliance to the Department on the response form. Correct by 06/28/2024 DocuSign Envelope ID: 57D2559F-D23C-4B8E-A378-FAD289023555

Corrected Corrected by Jun 28, 2024

Category: ratio. 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.

There was a child that did not have a current health statement on file. The health statement that the child did have on file expired on 6/12/2024. There was a child that did not have a health statement on file that was signed or dated by a health care provider. Correction: Obtain, maintain and update annually documentation of child's health statement. Correct immediately. Document compliance to the Department on the response form. Correct by 07/28/2024

Corrected Corrected by Jul 28, 2024

Category: ratio. Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

Two (2) electrical outlets did not have protective safety covers in the back right area of the Preschool-3 classroom. Two (2) electrical outlets did not have protective safety covers near the cubbies in the Preschool-4 classroom. Correction: Please ensure that all electrical outlets have safety covers or are inaccessible to children in care. Correct immediately. Corrected at the time of the inspection by the director adding safety covers to the electrical outlets in both the Preschool 3 and 4 classrooms. No response is needed for this violation. Correct by 06/04/2024

Corrected Corrected by Jun 4, 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.

Reviewed the sign-in/sign-out/attendance sheet in the infant classroom. At the time of inspection four (4) children were in care and only three (3) children were signed in/documented in the room. DocuSign Envelope ID: 9C114DF1-D409-4B58-AC18-6B91D7E8B68A FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Please ensure that all children are signed in and signed-out as they enter the classroom and as they leave when being picked up. Documentation of which children are in each classroom should be kept up-to-date at all times in all classrooms. Correct immediately. Corrected at the time of inspection by the infant teacher realizing who had not been signed in and adding them to the list. Document a plan for continued compliance to the Department in your written response. Correct by 06/04/2024

Corrected Corrected by Jun 4, 2024

Category: transportation. 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.

A staff member was observed not washing a child's hands after diapering. Correction: Follow all health regulations and demonstrate knowledgeable decision-making for the proper care of the children. Correct immediately and document compliance to the Department on the response form. Correct by 04/19/2024

Corrected Corrected by Apr 19, 2024

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. DocuSign Envelope ID: E0BD5CE4-1A00-4140-871F-0C77ECF81B2D FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed seven (7) staff files two (2) staff members CM and AM did not have a medical statement signed and dated by a physician or other health care provider. Correction: Obtain, maintain and update documentation of medical statement. Correct and document compliance to the Department on the response form. Correct by 05/19/2024

Corrected Corrected by May 19, 2024

Category: health medication. 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 rubber resilient material measured three and a half (3 1/2) inches in the use zone of the light brown climbing structure and zero (0) inches in the use zone of the blue and yellow climbing structure on the preschool playground. Correction: All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone. Correct immediately and document compliance to the Department on the response form. Correct by 04/19/2024

Corrected Corrected by Apr 19, 2024

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

2.206.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Reviewed five (5) child files, three (3) children did not have a signed policies and procedures in their file available for review. Correction: Obtain, maintain documentation of signed policies and procedures. Correct immediately. Document compliance to the Department on the response form. Correct by 03/21/2024 DocuSign Envelope ID: 7D2051F9-408A-44A9-864D-96CF462314D5

Corrected Corrected by Mar 21, 2024

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 five (5) child files, two (2) children did not have signed emergency medical authorization in their file available for review. Correction: Obtain, maintain and update annually documentation of emergency medical authorization. Correct immediately. Document compliance to the Department on the response form. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

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

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

In the preschool classroom under the diaper changing station there was diaper cream that was accessible to children that had the label "keep out of reach of children." Correction: Items that are labeled "keep out of reach of children" must be inaccessible to children. Correct immediately. Corrected at the time of the inspection diaper cream was removed from under the diaper changing station and moved on top of a cabinet making it inaccessible. No response is needed for this violation. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

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 the infant classroom there were three (3) children, and one (1) was signed in. Correction: The time a child arrives and leaves the center each day must be recorded. Correct immediately. Corrected at the time of the inspection the infant teacher signed in the two (2) children. No response is needed for this violation. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

In the infant classroom there was a crib that had a fitted sheet on it that was loosely fitted on the mattress DocuSign Envelope ID: 7D2051F9-408A-44A9-864D-96CF462314D5 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ potentially causing a suffocation hazard. Correction: Soft bedding that could pose a suffocation hazard is not permitted in cribs .Correct immediately. Corrected at the time of inspection the teacher adjusted the fitted sheet so that it fitted the mattress securely. Document a plan for continued compliance to the Department on the response form. Correct by 03/21/2024

Corrected Corrected by Mar 21, 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.

In the walkway to the preschool playground near the infant classroom. There were two hoses and a white board that were lying on the ground covering up half of the walkway causing a potential tripping hazard. Correction: Outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately and document compliance to the Department on the response form. Correct by 03/21/2024

Corrected Corrected by Mar 21, 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.

The rubber resilient material measured three and a half (3 1/2) inches in the use zone of the light brown climbing structure and zero (0) inches in the use zone of the blue and yellow climbing structure on the preschool playground. The wood chip resilient material measured five (5) inches in the use zone of the red slide on the toddler playground. Correction: All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone. Correct immediately and document compliance to the Department on the response form. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

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

2.121.F · The Department may deny, revoke, suspend, change to probationary or fine a child care facility if the DocuSign Envelope ID: 7D2051F9-408A-44A9-864D-96CF462314D5 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ applicant(s), an affiliate of the applicant, or any person living with or employed by the applicant has been found to violate any of the provisions set forth in section 26.5-5-317(2), C.R.S.

Observed staff member AT, ineligible to work in the child care program due to background check results. Correction: According to statute 26.5-5-317(2)(n): 26.5-5-317(2)(n) Admits to an act of child abuse or if substantial evidence is found that the licensee, person employed by the licensee, or person who resides with the licensee in the licensed facility has committed an act of child abuse. As used in this subsection (2)(n), "child abuse" has the same meaning as that ascribed to the term "abuse" or "child abuse or neglect" in section 19-1-103(1); Correct immediately and document compliance to the Department on the response form. Correct by 03/21/2024

Corrected Corrected by Mar 21, 2024

Category: background checks. 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 DocuSign Envelope ID: F4223EB0-9FEA-4C1A-B123-D0C3F245B38E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ limited to, cell phones and portable electronic devices.

It was learned through conversation that staff members are using their phones while caring for children. The staff members are using their cell phones while outside and while children are sitting on their laps. It was learned through conversation that staff members were on their phones for extended periods of times, and not watching the children. Their phone usage has impacted their ability to supervise children. Through conversation it was learned that a staff member is allowing at least six (6) different children to use their personal phone and tablet to play video games and watch shows. Correction: Staff must refrain from the personal use of electronics. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: supervision. 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

It was learned through conversation that infants and toddlers have been cared for in the preschool classroom when the facility is opening in the morning. It was also learned through conversation that a ten (10) month old infant was brought into the toddler room to be cared for when the infant teacher wasn't present to care for the child. It was learned through conversation that infants, toddlers and preschoolers are combined in the office/sand room space at the front of the building when the center opens in the morning. Infants are reportedly put in bouncers in the office or held and toddlers and preschoolers are playing in the sand area. Correction: When combining age groups, children must be cared for in the room licensed for the youngest child in care, and must not exceed the room's licensed capacity. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

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.

A staff member was observed not washing their hands, nor the child's hands after diapering. The same staff member was observed not disinfecting the diaper changing table after it had been used, and proceeded to use it as a surface to write in a note book. It was learned through conversation that a staff member was not washing their hands prior to or after handling food. Identified that a staff member completed infant safe sleep training on 12/18/23, and a child in their care was found in an unsafe sleep environment. Correction: Follow all health regulations and demonstrate knowledgeable decision-making for the proper care of the children. Immediately ensure that all safe sleep practices are followed, for all infants, at all times. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 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 two (2) staff files staff members KB and SA did not have Standard Precautions Training on file available for review. Correction: Obtain, maintain, and update Standard Precautions Training. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.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 appropriate disposal of biological contaminants.

Reviewed two (2) staff files staff members KB and SA did not have a Pre-service Building and Physical DocuSign Envelope ID: F4223EB0-9FEA-4C1A-B123-D0C3F245B38E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Premises Safety Training on file available for review. Correction: Obtain, and maintain Pre-service Building and Physical Premises Safety Training. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 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 two (2) staff files staff member KB did not have Disaster Preparedness Training on file available for review. Correction: Obtain, and maintain Disaster Preparedness Training. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: recordkeeping. 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 DocuSign Envelope ID: F4223EB0-9FEA-4C1A-B123-D0C3F245B38E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 2-1/2 years to 3 years: 16 children 3 years to 4 years: 20 childr

It was learned through conversation that the preschool classrooms had combined outside with a total of twenty-two (22) children playing together. Correction: Continuing the violation that was cut off: 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 Ensure correct group sizes are maintained at all times. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Jan 3, 2024

Category: ratio. 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

It was learned through conversation that a staff member, upon returning to the child care center, has left her sleeping children in the car for them to nap numerous times. The children attend the center and are brought in after they have slept in the car. The staff member will also leave the classroom to check on the children in the car. When the licensing specialists arrived at the facility the owner left the classroom she was in to come and open the door. The owner was the only teacher in the toddler room therefore leaving the children unsupervised. Correction: All children must be under the direct supervision at all times by a qualified adult. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 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.

A four (4) month old infant was placed in an unsafe sleep environment in the infant room the infant was DocuSign Envelope ID: F4223EB0-9FEA-4C1A-B123-D0C3F245B38E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ asleep in a car seat with a blanket draped over them. It was learned through conversation that the infant was in the unsafe sleep environment for at least five (5) minutes; according to the employee sign-in sheet, the incident could have been happening for up to 10 minutes. Correction: All infants must immediately be placed in a safe sleep environment. Immediately remove blankets from a sleeping infant to prevent a suffocation hazard. Correct immediately. Corrected at the time of inspection. The child was moved into a crib and the blanket was removed. Document a plan for continued compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

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

2.223.C.15 · Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their back to sleep.

A four (4) month old infant was placed in an unsafe sleep environment in the infant room the infant was asleep in a car seat with a blanket draped over them. It was learned through conversation that the infant was in the unsafe sleep environment for at least five (5) minutes; according to the employee sign-in sheet, the incident could have been happening for up to 10 minutes. Correction: All infants must immediately be placed in a safe sleep environment. Immediately remove blankets from a sleeping infant to prevent a suffocation hazard. Correct immediately. Corrected at the time of inspection. The child was moved into a crib and the blanket was removed. Document a plan for continued compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

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

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

Staff member SA did not have appropriate documentation in their file stating that they were a qualified ECT. This staff member was left to supervise children and act as the ECT with one (1) aide in the classroom. DocuSign Envelope ID: F4223EB0-9FEA-4C1A-B123-D0C3F245B38E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: There must be at least one (1) qualified ECT supervising each group of children. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: supervision. Marked corrected in the state record.

2.121.J.1 · 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-age child care facilities, family child care homes, and qualified exempt provider homes:

Staff member SA moved to Colorado within the past five years, and did not have an out-of-state clearance letter on file available to review. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member SA has reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for staff member SA with written response to Specialist. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: supervision. 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.

It was learned through conversation that there is one staff member opening the facility in the morning with no other staff member present in the building. Correction: 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 avaliable. Correct immediately and document DocuSign Envelope ID: F4223EB0-9FEA-4C1A-B123-D0C3F245B38E

Open Not marked corrected in the state record

Open / not marked corrected.

2.217.A.4 · If the director of a large center cannot be present sixty percent (60%) of any day, an assistant director must be on site acting in the capacity of the director.

The director was not available the day of the inspection, and there was no qualified assistant director available on site. Correction: If the director is not available for any day, there must be a qualified assistant director available on site acting in the capactiy of the director. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Marked corrected in the state record.

2.224.C.2 · Toddlers must be sitting when eating or drinking.

There was a teacher in the toddler room who was giving raisins to a toddler who was walking around the room eating them. Correction: Toddlers must be seated when eating. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Marked corrected in the state record.

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

There was a preschooler who was older than three (3) years in the toddler classroom during nap time. The toddler classroom is licensed to serve up to thirty six (36) months. It was learned through conversation that children who had a difficult time going to sleep were brought into the toddler room during nap time to be rock to sleep. Correction: Rooms licensed for specific ages of children cannot be used for other ages of children without prior written approval. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

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

2.210.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

There were two staff members KB and SA that did not have a complete staff file including verification of DocuSign Envelope ID: F4223EB0-9FEA-4C1A-B123-D0C3F245B38E FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ qualifications and trainings. Correction: Maintain a staff file for each staff member that includes verification of qualifications and trainings. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

Category: recordkeeping. Marked corrected in the state record.

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

The sink in the toddler classroom was not draining. It had a sign above it stating, "please do not use." Correction: Building must be kept in good repair. Correct immediately and document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 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.

On the toddler playground, there is a blue train crawling structure that has several cracks posing a pinching hazard near where children enter the crawling structure. Correction: Areas should be inspected regularly to identify and remove hazards in areas accessible to children. Correct immediately and maintain area off limits until corrected. Document compliance to the Department on the response form. Correct by 01/03/2024

Corrected Corrected by Jan 3, 2024

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

7.702.62.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 conversation, that one infant has been using a pacifier with a stuffed animal attached to it while being placed in the crib to sleep. Another infant has been using a pacifier with a stuffed animal attached and a pacifier strap clipped to their clothing while being placed in the crib to sleep. Correction: In the infant room, materials that could pose a suffocation hazard are not permitted in cribs, such as but not DocuSign Envelope ID: D4203165-CB1A-4A61-A7EC-2CFED475B499

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.702.62.C.11 · Swaddling of infants must only be allowed with a health care plan completed and signed by the child’s health care provider.

Learned through conversation, that an infant was using a swaddle while in a crib during nap time. There was no health care plan in the infant's file. Correction: Swaddling infants is not allowed without a health care plan completed by the child's health care provider. Correct immediately and document compliance to the Department on the response form. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

7.702.62.C.4 · Toys, including mobiles and other types of play equipment that are designed to be attached to any part of sleeping equipment, must be kept away from sleeping infants and out of sleep environments, including hanging toys. Blankets and other items must not be hung from or draped over the sides or any part of sleeping equipment.

Learned through conversation, that infants were being laid down in a crib with a blanket draped over the side of the crib. Correction: Blankets and other items must not be hung from or draped over the sides of any part of sleeping equipment. Correct immediately and document compliance to the Department on the response form. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

7.702.63.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

Observed a ten (10) month old was lying flat on the floor while holding their own bottle and feeding themself. DocuSign Envelope ID: D4203165-CB1A-4A61-A7EC-2CFED475B499 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ It was learned through conversation, that the Infant Program Supervisor (IPS) and infant Early Childhood Teacher (ECT) were regularly allowing the child to lay flat while feeding themself. Correction: Older infants must not be allowed to hold their own bottles when lying flat. Correct immediately and document compliance to the Department on the response form. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

7.702.2.D · Any center having a Director assigned to a classroom must have qualified and adequate staff, allowing the Director or qualified staff the ability to attend to the duties of a director as they arise.

The director is currently the only assigned IPS, and the main infant teacher in the infant classroom that is open at least eleven (11) hours a day. The director/ IPS is reportedly not able to leave the classroom to tend to the director's duties adequately. Correction: A director assigned to a classroom must have qualified and adequate staff to be able to attend to all the director duties. Correct immediately and document compliance to the Department on the response form. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Marked corrected in the state record.

7.702.2.E · The Director of the center is responsible for administering the center in accordance with licensing rules. The Director must plan and supervise the child development program, plan for or participate in selection of staff, plan for orientation and staff development, supervise and coordinate staff activities, evaluate staff performance, and participate in the program activities.

The director who is also the IPS was not aware of the licensing regulations for infant safe sleep and infant feeding, therefore she could not teach and evlaute staff members on proper procedures per the regulations. Correction: The director of the center is responsible for administering the center in accordance with the licensing rules. Correct immediately and document compliance to the Department on the response form. Correct by 11/27/2023 DocuSign Envelope ID: D4203165-CB1A-4A61-A7EC-2CFED475B499

Corrected Corrected by Nov 27, 2023

Category: supervision. 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.

IPS was not knowledgeable about safe sleep and infant feeding regulations. IPS has allowed multiple improper infant feedings and unsafe sleep environments to take place in the infant classroom and has not provided adequate training to infant staff. Correction: All staff must make knowledgeable decision making for the proper care and well-being of children. Correct immediately and document compliance to the Department on the response form. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

7.702.45.B.1.c.1 · Prior to being assigned a group of children, the Infant Program Early Childhood Teacher must complete eight (8) hours of orientation in the infant program under the supervision of the Infant Program Supervisor. The orientation may include, but not limited to, the following topics:Toys and equipment, appropriate activities for infants and toddlers, appropriate sleep positions for infants and toddlers, and the safe and appropriate diaper change technique.

The infant supervisor is responsible for training staff in the infant room. It was learned through conversation that the infant supervisor, and the ECT in the infant room did not have proper knowledge of safe sleep or feeding regulations. Correction: Prior to being assigned to a group of children, the Infant Program Supervisor, must provide training to staff working with infants. The Infant Program Supervisor must be knowledgeable of the regulations to properly train staff. Correct immediately and document compliance to the Department on the response form. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. 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. DocuSign Envelope ID: D4203165-CB1A-4A61-A7EC-2CFED475B499 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed three (3) staff files, staff member JB did not have Infant Safe Sleep Training in their file available for review, and it was learned through conversation that this staff member has worked in the infant room. Correction: Obtain, maintain, and update annual documentation of Safe Sleep Training. Correct immediately. Document compliance to the Department on the response form. Please provide Safe Sleep Training with your response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: physical safety. 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.

Reviewed three (3) staff files, staff member JB did not have Shaken Baby Abusive Head Trauma Training in their file available for review, and it was learned through conversation that this staff member has worked in the infant room. Correction: Obtain, maintain, and update bi-annual documentation of Shaken Baby Abusive Head Trauma Training. Correct immediately. Document compliance to the Department on the response form. Please provide training with your response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.45.B.1.c · Prior to being assigned a group of children, the Infant Program Early Childhood Teacher must complete eight (8) hours of orientation in the infant program under the supervision of the Infant Program Supervisor. The orientation may include, but not limited to, the following topics:

Reviewed three (3) staff files, staff member JB did not have Infant Orientation Training in their file available for review, and it was learned through conversation that this staff member works in the infant room. Correction: Obtain and maintain documentation of Infant Orientation Training. Correct immediately. Document compliance to the Department on the response form. Please provide training with your response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. 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 DocuSign Envelope ID: D4203165-CB1A-4A61-A7EC-2CFED475B499 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually and will be counted towards ongoing professional development.

Reviewed three (3) staff files, staff member JB Standard Precautions Training was not signed by a director. Correction: Obtain signature by the director, maintain and update annual documentation of Standard Precaution Training. Correct immediately and document compliance to the Department on the response form. Please provide training with your response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: ratio. 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 appropriate disposal of biological contaminants.

Reviewed three (3) staff files, staff member JB did not have Building Physical Premsis Training in their file available for review Correction: Obtain and maintain documentation of Building Physical Premsis Training. Correct immediately. Document compliance to the Department on the response form. Please provide training with your response. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

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

It was learned through conversation, that SM1's fingers went into CH1's mouth when SM1 was reprimanding CH1 for a biting incident. Correction: Children can not be subjected to physical or emotional harm, humiliation, or threats. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 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.

It was learned through conversation, that during an incident, SM1 screamed at a child within inches of their face as a form of guidance. It was learned through conversation, SM1 was heard yelling, "you stop now" very loudly in their classroom. Correction: Guidance must be appropriate to the development of the child. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.702.64.E · Physical activity and outdoor time must not be withheld as a disciplinary measure.

It was learned through a conversation, that SM1 had withheld outdoor time from at least three (3) of their students as punishment. Correction: Outdoor time must not be withheld as a disciplinary measure. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.702.64.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.

It was learned through conversation, that SM1 withheld food as a punishment for a child's behavior. Correction: Guidance must not be associated with food. Food must not be denied as a disciplinary measure. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023 ________________________________________________

Corrected Corrected by Oct 19, 2023

Category: nutrition. Marked corrected in the state record.

7.702.46.A.7 · There must be assigned at least one (1) qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. A Director may be the assigned teacher for one (1) group of children.

SM3, who is not ECT qualified, was seen alone in the preschool room with a group of two and a half (2 1/2) to five (5) year olds. SM3 was also left alone supervising a preschool classroom of two and a half (2 1/2) to five (5) year olds while the ECT left the classroom to answer the door. Learned through conversation that SM1, who is not ECT qualified, was left alone with a group of two and a half (2 1/2) to five (5) year-olds in a classroom while the ECT took children outside on the playground. DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: There must be at least one (1) qualified Early Childhood Teacher supervising each group of children. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: supervision. 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 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

A staff member was left alone with eight (8) twelve (12) months to thirty-six (36) months while SM1 went to another classroom to get art supplies. It was learned through conversation, that a staff member was left alone on the playground by themselves with sixteen (16) two and a half (2 1/2) to five (5) year olds. Correction: Ensure that at all times the correct staff-to-child ratio is being followed. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023 ________________________________________________

Corrected Corrected by Oct 19, 2023

Category: ratio. Marked corrected in the state record.

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

It was learned through conversation, that SM1 forcefully grabbed the child's face and squeezed the child's cheeks hard; while SM1 tapped their finger aggressively against a child's lips after the child bit another child. It was learned through conversation, that SM1 grabbed the arm of a child and forcefully pulled the child to the floor to discipline them for playing with a toy at a table. It was learned through conversation, that SM1 forcefully pulled a child down to their cot when they did not want to nap. DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Children can not be subjected to physical or emotional harm, humiliation, or threats. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: supervision. Marked corrected in the state record.

7.702.46.A.7 · There must be assigned at least one (1) qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. A Director may be the assigned teacher for one (1) group of children.

Upon arrival at the center, the director, who is the designated ECT for the toddler room, was observed leaving the office to answer the door. At the time the toddler classroom 1:B had two aides supervising the children without a qualified ECT. It was learned through conversation, that SM2 was left alone in the toddler classroom with eight (8) children, and an ECT was not in the classroom with them. During nap time, SM2 was observed supervising children without a ECT in the classroom. Correction: There must be at least one (1) qualified Early Childhood Teacher supervising each group of children. A director may be the assigned teacher for one (1) group of children. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: supervision. 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 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

It was learned through conversation, that SM2 was left alone in the toddler classroom with eight (8) children, and an ECT was not in the classroom with them. DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure that at all times the correct staff to child ratio is being followed. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023 ________________________________________________ ________________________________________________

Corrected Corrected by Oct 19, 2023

Category: ratio. 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 six (6) staff files, staff members AF or MM did not have a Standard Precaution Training on file available for review. Correction: Obtain, maintain and update annually documentation of Standard Precautions Training. Correct immediately and document compliance to the Department on the response form. Please provide training with your response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: ratio. Marked corrected in the state record.

7.702.64.F · Separation, when used for guidance, must not exceed five (5) minutes and must be appropriate for the child's development. The child must be in a safe, lighted, well-ventilated area and be within sight and hearing of an adult. The child must not be isolated in a locked, closed room, or closet.

It was learned through conversation, that SM1 has been observed separating children from playing outside by having them sit on the fence for twenty (20) to forty-five (45) minutes. DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: When using separation for guidance it must not exceed five (5) minutes and must be appropriate to the child's development. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: ratio. 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 per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed six (6) staff files, staff members AF or MM did not have a Disaster Preparedness Training on file available for review. Correction: Obtain, maintain the training certificate on file and available for review by a licensing specialist. Correct immediately and document compliance to the Department on the response form. Please provide training with your response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 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 six (6) staff files, staff members KS or MM did not have a Infant Safe Sleep Training on file available for review. Correction: Obtain, maintain and update annually documentation of Infant Safe Sleep Training. Correct immediately and document compliance to the Department on the response form. Please provide training with your response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: physical safety. 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.

Reviewed six (6) staff files staff members RM, KS, or MM did not have a Shaken Baby Abusive Head Trauma Training on file available for review. Correction: Obtain, maintain and update bi-annually documentation of Shaken Baby Abusive Head Trauma Training. Correct immediately and document compliance to the Department on the response form. Please provide training with your response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.46.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.

It was learned through conversation, that when the center is opening in the morning there has only been one (1) staff member in the building and children have been present. During that time, a second person was not on site and immediately available. Correction: There must be at least one (1) ECT or assistant ECT working with the children and a second staff member must be on site and immediately available. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.702.92.C · Centers must comply with the locally adopted fire code, including but not limited to the following: In every building or structure, exits must be arranged and maintained so as to provide free and unobstructed egress from all DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building can be installed. Only panic hardware or single-action hardware is permitted on a door or on a pair of doors. All door hardware must be within the reach of children.

During operating hours, the preschool classrooms and toddler room 1:B have child locks on the handles on the fire escape that inhibits children from escaping. Correction: No equipment may be installed that inhibits free escape from the inside of the building. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: physical safety. 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).

Staff members KS, MM, and RM did not have TRAILS clearance letters available for review at the time of inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members KS, MM, and RM have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letters for staff members KS, MM, and RM with written response to Specialist. Correct immediately. Please provide a plan of compliance within 24 hours. Also provide long-term compliance plan to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.701.32.D.1.a.1 · . Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Staff members MM and RM were observed supervising children together in toddler 1:B, without having TRAILS clearance letters in their files. Neither staff member has successfully completed all their required background checks. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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 six (6) staff files staff member CS did not have a CPR/ First Aid certificate or CPR First Aid Module on file available for review. Correction: Obtain, maintain and update bi-annually documentation of CPR First Aid Module Training. Correct and document compliance to the Department on the response form. Please provide training with your response. Correct by 11/03/2023

Corrected Corrected by Nov 3, 2023

Marked corrected in the state record.

7.702.64.H · Any form of restraint is not permitted.

It was learned through conversation, that SM1 put their arms around a child (bear hugged) to get them off a bike and then released them by a fence. It was learned through file review, SM1 restrained a child between SM1's legs holding the child's legs down with SM1's legs with the child's arms crossed on their chest being held down by SM1's arms and hands. It was learned through conversation, that SM1 forcefully pulled a child down to their cot when they did not want to nap. Correction: No form of restraint is permitted. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.701.53.A · . A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law.

Staff member MM, did not have an Abuse Reporting Form in her file at the time of inspection. Correction: Obtain and maintain documentation of Abuse Reporting Form. Correct immediately and document compliance to the Department on the response form. Please provide a copy of signed document with your response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.702.45.C.2 · Staff Aides must be at least sixteen (16) years of age, must work directly under the supervision of the Director or a Toddler Early Childhood Teacher, and must have completed eight (8) hours of orientation at the toddler program.

Staff members MM and RM did not have a Toddler Orientation Form in their file at the time of inspection. Correction: Obtain and maintain documentation of Toddler Orientation Form. Correct immediately and document compliance to the Department on the response form. Please provide a copy of signed document with your response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: supervision. Marked corrected in the state record.

7.702.2.D · Any center having a Director assigned to a classroom must have qualified and adequate staff, allowing the Director or qualified staff the ability to attend to the duties of a director as they arise. DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

The director is currently the only assigned ECT for the toddler 1B classroom that is open at least nine (9) hours a day therefore the director is not able to leave the classroom to tend to director duties adequately. The center currently has three (3) rooms open with only three (3) teachers with complete ECT qualification documentation provided. Through conversation, it was learned that staff had expressed concerns about the behavior of SM1 but the director was not available to be in other classrooms to observe the behaviors, supervise, and evaluate staff performance. Director stated she never observed the concerning behaviors. Correction: A director assigned to a classroom must have qualified and adequate staff to be able to attend to all the director duties. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: supervision. 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.

A staff member was observed holding a toddler while they stepped over a bookcase that was being used as a barrier in the classroom. Correction: Staff must demonstrate knowledgeable decision-making. Staff cannot walk over any furniture or gates while holding children. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.701.33.D.4 · . Requests for a criminal record check, other than those required per Section 7.701.33.D.4.a,b must be submitted to the CBI within five (5) working days of the day that the individual begins to work at the facility or agency.

Staff member KS did not have CBI or FBI clearance letters available for review at the time of inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members KS have reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letters for staff members KS with written response to Specialist. Correct immediately. Please provide a plan of compliance within 24 hours. Also provide long-term compliance plan to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: background checks. 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 DocuSign Envelope ID: 031DFDCC-4C3D-43A6-AA87-C9FA78201D0C FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Staff member SK did not have FBI clearance letters available for review at the time of inspection. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members SK have reviewed the powerpoint within 24 hours. Submit documentation of FBI clearance letters for staff members SK with written response to Specialist. Correct immediately and document compliance to the Department on the response form. Please provide SK's FBI clearance letter with your response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.702.92.B · Centers must comply with the locally adopted fire code, including but not limited to the following: Every building or structure must be constructed, arranged, equipped, maintained, and operated as to avoid undue danger to the lives and safety of its occupants from fire, smoke, fumes, or resulting panic during the period of time reasonably necessary for escape from the building or structure in case of fire or other emergency.

Bookcases were being used as a barrier to completely block children from gaining access to the side of the room with the doors due to child wanting to run out of the room. Bookcases were arranged so children did not have access to any exits out of the room. Correction: Furniture can not be arranged in a way to inhibits the use of fire exits. Correct immediately and document compliance to the Department on the response form. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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