2.205.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.

During safety walk through, identified through staff interview Director is in a classroom and does not have a qualified staff person to allow them to attend to the duties of a director. Correction: Ensure facility has qualified and adequate staff to allow the director assigned to a classroom to attend to the duties of a director. Correct immediately 4/29/2026 and submit written compliance by 5/6/2026. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

During safety walk through, observed accessible to children a diaper cart with diapers and wipes, and changing table with unlocked cabinet with diaper supplies. Correction: Ensure all diaper changing supplies are stored in a space that is inaccessible to children at all times. Correct immediately 4/29/2026. ***Corrected at time of visit. Diapers and wipes stored in locked changing table cabinet. No response required. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

During safety walk through, observed kitchen was unattended and accessible to children with the door propped open. Previously cited on 3/4/2026. Correction: Ensure kitchen is inaccessible to children at all times. Correct immediately 4/29/2026. ***Corrected at time of visit by closing and locking door. No response required. Correct by 04/29/2026

Corrected Corrected by Apr 29, 2026

Category: physical safety. 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.

During safety walk-through, observed electrical outlets in the Gym and Toddler 2 classroom accessible to children to be missing protective covers. Correction: Ensure all electrical outlets accessible to children have protective covers. Correct immediately 4/1/2026. ***Corrected at time of visit by placing protective covers in the outlets. No response required. Correct by 04/01/2026

Corrected Corrected by Apr 1, 2026

Marked corrected in the state record.

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

During safety walk-through, observed an adult volunteer moving a child away from the group, child dropped FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ to the ground and adult continued to drag child across the floor. Correction: Ensure children are not subjected to harsh treatment by staff or volunteers. Correct immediately 4/1/2026 and submit plan of action by 4/8/2026. Correct by 04/01/2026

Corrected Corrected by Apr 1, 2026

Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 5 staff files and observed 1 staff member to be missing a health statement. Correction: Obtain and maintain current and up to date health statement for all staff members within 30 calendar days after the first date of employment. Correct and submit written compliance by 4/4/2026. Correct by 04/04/2026

Corrected Corrected by Apr 4, 2026

Category: health medication. 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 5 staff files and observed 1 staff member working with children without a signed and completed Standard Precaution training. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain and maintain current and up to date a signed Standard Precaution training for all staff members prior to working with children. Correct immediately 3/4/2026 and submit written compliance by 4/4/2026. Correct by 03/04/2026

Corrected Corrected by Mar 4, 2026

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.

During safety walk-through observed in the Pre-K classroom, a child sitting in the cozy corner chair that had torn netting, posing a potential choking hazard as the child was attempting to put their head through the net. This is in violation of Stipulation M. Correction: Ensure all indoor and outdoor equipment is sturdy, safe, and free of hazards. Correct immediately 3/4/26. ***Corrected at time of visit by removing chair from classroom. No response required. Correct by 03/04/2026

Corrected Corrected by Mar 4, 2026

Category: physical safety. 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.

During safety walk-through observed in the Preschool classroom, outlets without protective covers. Correction: Ensure all eletrical outlets have protective covers on them at all times. Correct immediately 3/4/2026. ***Corrected at time of visit by placing shelf in front of outlet. No response required. Correct by 03/04/2026

Corrected Corrected by Mar 4, 2026

Marked corrected in the state record.

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

During safety walk-through observed the kitchen door was left open and unattended, making it accessible to children. Correction: Ensure the kitchen is inaccessible to children at all times. Correct immediately 3/4/2026 and submit plan of action by 4/4/2026. Correct by 03/04/2026

Corrected Corrected by Mar 4, 2026

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

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

During safety walk through observed unlocked drawer accessible to children with packing tape that has a sharp ridged edge to cut the tape. Correction: Ensure all sharp tools and instruments are inaccessible to children at all times. Correct immediately 12/16/2025. ***Corrected at time of visit. No response required. Correct by 12/16/2025

Corrected Corrected by Dec 16, 2025

Marked corrected in the state record.

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

Identified through staff interview facility does not have sign posted stating where the facility's inspection reports can be viewed. Correction: Ensure facility post inspection reports or a notice as to where the report may be viewed. Correct immediately 12/16/2025 and submit written compliance by 12/23/2025. Correct by 12/16/2025

Corrected Corrected by Dec 16, 2025

Marked corrected in the state record.

2.127.C · At all times during the operating hours of a family child care home, child care center, preschool, school-age child care center, children’s resident camp and Neighborhood Youth Organization, the facility must post in a FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ prominent and conspicuous location information regarding the procedures for filing a complaint with the Colorado Department of Early Childhood, including the telephone number and mailing address.

Identified through staff interview facility does not have sign posted stating the procedure and where to file a complaint with CDEC. Correction: Ensure facility post sign and information of the procedure and where to file a complaint with the CDEC. Correct immediately 12/16/2025 and submit written compliance by 12/23/2025. Correct by 12/16/2025

Corrected Corrected by Dec 16, 2025

Marked corrected in the state record.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

During safety walk through observed small pom pom decorations in the Toddler 1 classroom, and in the main hallway of the facility, posing a potential choking hazard for children under the age of 3 years. Correction: Ensure small materials that are choking hazards are inaccessible to children under the age of 3 years. Correct immediately 12/16/2025. ***Corrected at time of visit by removing items. No response required. Correct by 12/16/2025

Corrected Corrected by Dec 16, 2025

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.

During safety walk through observed 2 safety outlets, one in the gym and one in the Toddler class, to not be closed properly. Correction: Ensure all electrical outlets accessible to children have working protective covers. Correct immediately 12/16/2025. ***Corrected at time of visit by securing outlets. No response required. Correct by 12/16/2025

Corrected Corrected by Dec 16, 2025

Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

During safety walk through observed diapers stored in unlocked cabinet under the sink in Toddler 1, and diapers and wipes in unlocked cabinet under changing table in Toddler 2 classroom. Correction: Ensure storage of diaper changing supplies are inaccessible to children at all times. Correct immediately 11/20/2025 and submit written compliance by 11/27/2025. Correct by 11/20/2025

Corrected Corrected by Nov 20, 2025

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 7 children files and observed 2 children to have expired emergency medical authorization form. Correction: Obtain and maintain current and up to date emergency medical authorization forms for all children enrolled. Correct immediately 10/29/2025 and submit written compliance by 11/29/2025. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

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

2.213.B · All staff must complete a Department-approved standard precautions training prior to working with FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 9 staff files and observed 1 staff member to have an unsigned Standard Precaution training. Correction: Obtain and maintain current and up to date signed Standard Precaution training for all staff members prior to working with children. Correct immediately 10/29/2025 and submit written compliance by 11/29/2025. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

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 9 staff files and observed 1 staff member to have an expired Shaken Baby training. Correction: Obtain and maintain current and up to date Shaken Baby training for all staff members prior to working with children. Correct immediately 10/29/2025 and submit written compliance by 11/29/2025. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

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 9 staff files and observed 1 staff member to have an expired Child Abuse Prevention training (exp 10/16/17) Correction: Obtain and maintain current and up to date Child Abuse Prevention training for all staff members. Correct immediately 10/29/2025 and submit written compliance by 11/29/2025. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

Category: recordkeeping. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 7 children files and observed 2 children to have immunization records on an unapproved CDPHE form. Correction: Obtain and maintain current and up to date immunization record on an approved CDPHE form for all children enrolled. Correct immediately 10/29/2025 and submit written compliance by 11/29/2025. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

Category: health medication. 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 7 children files and observed 1 file to have medical health statement with "Date of Last Appraisal" original date covered with white out. Correction: Obtain and maintain current and up to date medical health statement for all children enrolled. Correct and submit written compliance by 11/29/2025. Correct by 11/29/2025

Corrected Corrected by Nov 29, 2025

Category: ratio. Marked corrected in the state record.

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

During safety walk through, observed white out labeled "keep out of reach of children" accessible to children in the PreK classroom in an unlocked drawer. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 10/29/2025. ***Corrected at time of visit by removing white out from drawer. No response required. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

Marked corrected in the state record.

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 9 staff files and observed 1 staff member to be missing a health statement. Correction: Obtain and maintain current and up to date health statement from all staff members. Correct and submit written compliance by 11/29/2025. Correct by 11/29/2025

Corrected Corrected by Nov 29, 2025

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.

During safety walk through observed hand sanitizer accessible to children in the entryway, and an unlabeled spray bottle accessible to children in the Toddler 1 restroom. Correction: Ensure all items labeled "keep out of reach of children" are inaccessible to children at all times. Correct immediately 10/1/2025. ***Corrected at time of visit by removing items. No response required. Correct by 10/01/2025

Corrected Corrected by Oct 1, 2025

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.

During safety walk through observed outlet in the entryway and outlet in Toddler 2 to be missing protective covers and accessible to children. Correction: Ensure all electrical outlets accessible to children have protective covers. Correct immediately 10/1/2025. ***Corrected at time of visit by placing protective covers in outlets. No response required. Correct by 10/01/2025

Corrected Corrected by Oct 1, 2025

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 1 staff file and observed the Standard Precaution training was not signed by Director. Correction: Obtain and maintain a current and up to date and signed Standard Precaution training for all staff members. Correct immediately 10/1/2025 and submit written compliance by 10/8/2025. Correct by 10/01/2025

Corrected Corrected by Oct 1, 2025

Category: recordkeeping. Marked corrected in the state record.

2.219.B.1 · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: Documentation of school-required immunization status or certificate of medical or nonmedical exemption, is required by the Colorado Board of Health. Up-to-date school-required immunizations must be documented as specified on the Colorado Department of Public Health and Environment certificate of immunization or on an “approved alternate” Certificate of Immunization, defined in Colorado Department of Public Health and Environment rules located in 6 CCR 1009-2 rule section VI(A), (May 15, 2023), no later editions or amendments are incorporated. These regulations are available from the Colorado Department of Public Health and Environment at no cost at www.sos.state.co.us/CCR. 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. Colorado law requires proof of immunization status or exemption be provided prior to or on the first day of admission.

Reviewed 9 children files and observed 3 files to not have immunization record on state approved form. Correction: Obtain and maintain immunization record on a state approved form. Correct immediately 11/22/2024 and submit written compliance by 12/22/2024. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

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

2.121.D.4.a · Criminal background check requests must be successfully completed 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.

Reviewed 12 staff files and observed 1 staff member to not have CBI Michelle (hd 2/8/24), and 1 to not have FBI John (hd 3/26/24) Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Michelle and John have reviewed the powerpoint within 24 hours. Submit documentation of (CBI and FBI Clearance Letters for staff members Michelle and John with written response to the Specialist. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

Category: supervision. 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 9 children files and observed 1 child to have an expired health statement, and 1 child to be missing a health statement. Correction: Obtain and maintain current and up to date health statements for all children within 30 days of enrollment. Correct and submit written compliance by 12/22/2024. Correct by 12/22/2024

Corrected Corrected by Dec 22, 2024

Category: ratio. Marked corrected in the state record.

2.229.L · Toys, toy parts, furnishings, equipment, and any materials accessible to children under than three (3) FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ years of age must not be a choke hazard or able to be inhaled. Any area of the facility accessible to children less than three (3) years of age must be free of any choke or inhalation hazards.

During safety walk through, observed magnet strips accessible to children in the Toddler 1 classroom Correction: Ensure all small objects that could be a potential choking hazard are inaccessible to children under 3 years of age. Correct immediately 11/22/2024. ***Corrected at time of visit by removing magnets from classroom. No response required. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

Category: physical safety. 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.

During safety walk through, observed two outlets in the Toddler 2 classroom to not have a protective cover. Correction: Ensure all outlets and power strips have protective covers. Correct immediately 11/22/24. ***Corrected at time of visit by placing protective covers on outlets. No response required. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

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 9 children files and observed 1 child to have an incomplete enrollment packet missing signature verifying receipt of policies. Correction: Obtain and maintain signed documentation from parent/guardian of all children enrolled stating they have received facility's policies and procedures. Correct immediately 11/22/2024 and submit written documentation by 12/22/2024. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

Marked corrected in the state record.

2.138.A · Emergency drills, lockdown and active shooter on premises drills must be held at least quarterly but often enough so that all occupants are familiar with the drill procedure and their conduct during a drill is a matter of established routine. Fire drills must be held monthly and be consistent with local fire department procedures. Tornado drills must be held monthly from March to October. A record of all emergency drills held over the past twelve (12) months must be maintained by the facility or center, including date and time of drill, number of adults and children participating, and the amount of time taken to evacuate.

Reviewed drill log and observed no fire drill was done in October 2024. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure fire drills are conducted and documented monthly. Correct immediately 11/22/24 and submit written compliance by 12/22/24. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.120.C.1.a · The Trails child abuse or neglect records request must be made on the state-prescribed form, accompanied by the required fee within the following required time frames: Child care centers (less than 24-hour care), school-age child care facilities, family child care homes, and qualified exempt providers must meet the following: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Reviewed 12 staff files and observed 3 staff members to not have TRAILS clearance letters. Michelle (hd 2/8/24), Cynthia (hd 6/3/24) and Lacey (hd 8/1/23) Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Michelle, Cynthia and Lacey have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff membersnt. Submit verification that staff members Michelle, Cynthia and Lacey with written response to the Specialist. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 9 children files and observed 2 files with incomplete emergency medical authorization. Correction: Obtain and maintain current and up to date emergency medical authorization for all children enrolled. Correct immediately 11/22/2024 and submit written compliance by 12/22/2024. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

Category: health medication. 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:

Reviewed 12 staff files and observed 2 staff members to be missing Out of State Clearance letters Michelle (hd 2/8/24), Bianca (hd 3/20/23) Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Michelle and Biance have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background Clearance Letters for staff members Michelle and Bianca with written response to the Specialist. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

Category: supervision. Marked corrected in the state record.

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

Reviewed Health Inspection file and observed health inspection expired 3/7/24 Correction: Obtain and maintain current and up to date health inspections. Correct immediately 11/22/24 and submit written compliance by 12/22/24. Correct by 11/22/2024

Corrected Corrected by Nov 22, 2024

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

2.212.G · All staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider, verifying that they are in good mental, physical, and emotional health appropriate for the position for which they have been hired. This statement must be dated no more than six (6) months prior to employment or within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 12 staff files and observed 1 staff member to be missing documentation of a health statement. Sandra (hd 10/1/24) Correction: Obtain and maintain current and up to date health statements for all staff within 30 days of employment. Correct and submit written compliance by 12/22/2024. Correct by 12/22/2024

Corrected Corrected by Dec 22, 2024

Category: health medication. 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 12 staff files and observed 1 staff member, Syndey (hd10/24/24) to be missing documentation of Standard Precautions training. Correction: Obtain and maintain current and up to date Standard Precautions training for all staff prior to working with children. Correct immediately by 11/22/2024 and submit written compliance by 12/22/2024. Correct by 11/22/2024

Corrected Corrected by Nov 22, 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 12 staff files and observed 1 staff member, Sydney (hd 10/24/24) to be missing documentation of Shaken Baby Syndrome training. Correction: Obtain and maintain current and up to date Shaken Baby Syndrome training for all staff prior to working with children. Correct immediately by 11/22/2024 and submit written compliance by 12/22/2024. Correct by 11/22/2024

Corrected Corrected by Nov 22, 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.

Reviewed 12 staff files and observed 5 staff member, Jacqueline (hd 5/29/24), Sandra (hd 10/1/24), Natalie (hd 2/10/23), Lacey (hd 8/1/23) and John (3/26/24) to be missing completed training for First Aid/CPR. Correction: Obtain and maintain current and up to date First Aid and CPR module for all staff not required to have the certificate. Correct immediately by 11/22/2024 and submit written compliance by 12/22/2024. Correct by 11/22/2024

Corrected Corrected by Nov 22, 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 12 staff files and observed 3 staff members to have expired Child Abuse Prevention training, Jacqueline exp 5/31/24, Karlee exp 6/1/24), Chloe exp 7/1/22 Correction: Obtain and maintain current and up to date Child Abuse Prevention training for all staff. Correct immediately by 11/22/2024 and submit written compliance by 12/22/2024. Correct by 11/22/2024

Corrected Corrected by Nov 22, 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 12 staff files and observed 2 staff members to be missing FEMA training Chloe (hd 9/6/24) and Sydney (hd 10/24/24) Correction: Obtain and maintain FEMA training for all staff. Correct immediately 11/22/24 and submit written compliance by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

4 classrooms and the gym, were observed to not have capacity, listing age, and staff to child ratio, posted in the room. Correction: Ensure all rooms have licensed capacity listing age, and staff to child ratios. Correct immediately 10/17/24 and submit written compliance by 10/24/24 Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

Category: ratio. Marked corrected in the state record.

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

In the classrooms KinderKicks, Todd 2, and JRK, observed diaper cream, whiteout, super glue, and floor cleaner accessible to children. Correction: Ensure all "keep out of reach of children" items are inaccessible to children at all times. Correct immediately 10/17/24. ***Corrected at time of visit my removing items. No response required. Correct by 10/17/2024

Corrected Corrected by Oct 17, 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.

Diaper changing mat in Toddler 2 classroom observed to have a tear on the end, exposing foam padding. Light table in JRK classroom observed to be unplugged and cord loose, posing a potential tripping or strangulation hazard. Correction: Ensure all equipment and materials are sturdy, safe and free of hazards. Correct immediately 10/17/2024 and submit written compliance by 10/24/2024. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

During safety walk through of facility, observed kitchen door left open and unattended. Correction: Ensure kitchen is inaccessible to children at all times. Correct immediately 10/17/2024. ***Corrected at time of visit. No response required. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

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

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

Identified through discussion with staff that staff member 1 yelled at CH1 and on 3-4 seperate occassions yelled at the entire class. Correction: Children must not be subjected to physical or emotional harm, humiliation, or threats. Correct immediately 5/29/2024 and respond by 6/5/2024. Correct by 05/29/2024 Stage II Licensing Concern : Staff 1 threw CH1's food away so they could not eat and CH2 was coming home hungry. - FOUNDED

Corrected Corrected by May 29, 2024

Marked corrected in the state record.

2.225.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.

Identified through discussion with staff that staff 1 threw away CH1's plate as a disciplinary measure before FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ they were done eating. Correction: Guidance must not be associated with food, rest or toileting. Food mujst not be denied to or forced upon a child as a disciplinary measure. Correct immediately 5/29/2024 and respond by 6/5/2024. Correct by 05/29/2024 ________________________________________________ Stage II Licensing Concern : Incident reports were not written. - UNFOUNDED Stage II Licensing Concern : CH1 had knots on their head with no explanation. - UNFOUNDED Stage II Licensing Concern : Staff did not report to management about concerns with Staff 1. - UNFOUNDED ________________________________________________

Corrected Corrected by May 29, 2024

Category: nutrition. Marked corrected in the state record.

2.224.A.7 · Staff members must sit with the children and encourage them to try a variety of food served. During meals, children should be encouraged to engage in conversation and to express their independence.

In the two's, preschool and preK classrooms, staff were not sitting with the children during meal time. Correction: Staff members must sit with the children and encourage them to try a variety of food served. Correct immediately 5/29/2024 and respond by 6/5/2024. Correct by 05/29/2024

Corrected Corrected by May 29, 2024

Category: nutrition. Marked corrected in the state record.

2.229.R.3 · A variety of material and equipment from the following categories must be available: Books and Pictures.

There were no books available to children in the PreK classroom. Correction: A variety of books and pictures must be available to children. Correct immediately 5/29/2024 and respond by 6/5/2024. Correct by 05/29/2024

Corrected Corrected by May 29, 2024

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

2.217.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.

Identified through discussion with staff member that on 1/30/2024 for approximately 10 minutes in the morning there were 35 preschool children and 2 staff members. Correction: Staff to child ratio size is 1 staff memeber to 12 children. Maintain staff to child ratios at all times. Correct immediately 2/21/2024 and respond by 2/28/2024. Correct by 02/21/2024

Corrected Corrected by Feb 21, 2024

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.

Identified through discussion with staff member that on 1/30/24 classroom had 35 children and 2 staff members for approximately 10 minutes. Correction: Maximum group size for preschool is 24 children ages 4 -5 years old. Maintain group size at all times. Correct immediately 2/21/2024 and respond by 2/28/2024. Correct by 02/21/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Feb 21, 2024

Category: ratio. Marked corrected in the state record.