2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

At the time of visit, observed in the twos room to have soft furnishings peeling up and a mouse trap. In the toddler one classroom a fraying rug. In the school-age classroom, a broken table and a minor hole in the floor by the wall. Correction: Immediately 11/19/2025, all hazardous items must kept out of reach of children. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025

Corrected Corrected by Nov 19, 2025

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

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

At the time of visit, observed paint chipping throughout the classroom in the two's, toddler one, EPS and PreK. Correction: Immediately 11/19/2025, the building must be kept in good repair and maintained in a safe condition. Submit documentation and a written statement of compliance by 11/26/2025. Correct by 11/19/2025

Corrected Corrected by Nov 19, 2025

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.

At the time of visit, observed the PreK playground to be lacking resilient surfacing around climbing equipment at least 18 inches or higher. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately 11/19/2025, all climbing equipment must have at least 6 inches of resilient surfacing. Submit documentation and a written statement of compliance by 11/26/2025. Correct by 11/19/2025

Corrected Corrected by Nov 19, 2025

Category: physical safety. 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;

At the time of visit, observed in the two bathrooms diaper changing supplies accessible to children. Correction: Immediately 11/19/2025, all diaper changing supplies must be inaccessible to children. Corrected at the time of visit, the director removed the supplies. Submit a written statement of future compliance by 11/26/2025. Correct by 11/19/2025

Corrected Corrected by Nov 19, 2025

Marked corrected in the state record.

2.126.D.1 · Staff members of the county department of human or social services or a law enforcement agency that investigates an allegation of child abuse must be given the right to interview staff and children in care, and to obtain names, addresses, and telephone numbers of parents or legal guardians of children enrolled at the child care facility.

Another agency reached out to licensing and law enforcment to get the right to obtain requested information. Correction: Immediately 11/19/2025, the facility must cooperate at all times with another agencys investigation. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern : Children are left unsupervised. - FOUNDED

Corrected Corrected by Nov 19, 2025

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

Confirmed during the investigation, CH1 and CH2 were left unsupervised up to 4 minutes. This is a direct violation of (E) "All children must be under the direct and active supervision of qualified staff at all times, both indoors and outdoors." Correction: Immediately 11/19/2025, all children must be under the direct supervision at all times of a qualified adult who has been assigned the responsibility to supervise. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025

Corrected Corrected by Nov 19, 2025

Category: supervision. 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.

Confirmed during the investigation, SM1 left CH1 and CH2 unsupervised in the classroom up to 4 minutes. This is a direct violation of stipulation (M) "All staff at the center must demonstrate all knowledgeable, decision-making, judgment, and concern for the proper care and well-being of children." Correction: Immediately 11/19/2025, all staff at the center must demonstrate knowledgeable decision-making, judgement, and concern for the proper care and well-being of children. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern : Attendance verification is not being completed. - FOUNDED

Corrected Corrected by Nov 19, 2025

Category: supervision. 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.

Confirmed during the investigation, staff did not complete written attendance verification during transitions. This is a direct violation of stipulation (G) "Licensee will use a name to face attendance verification tool parentheses paper FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ are electronic form parentheses and complete attendance verification for all transitions and at frequent intervals throughout the day. Licensee shall provide training for all staff on how to use the attendance verification tool and must maintain verification of training in each employee staff file." Correction: Immediately 11/19/2025, staff must complete written attendance verification periodically throughout the day, including transitions. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern : The facility failed to follow their own policy. - FOUNDED

Corrected Corrected by Nov 19, 2025

Category: recordkeeping. Marked corrected in the state record.

2.206.B.7 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: 7. The procedure for identifying where children are at all times including times of transition;

Confirmed during the investigation, staff did not follow the facility's policies and procedures regarding where children are at all times. This is a direct violation of stipulation (F) "At all times, staff member shall know the attendance of the classroom in which they are signed. Facility director shall be able to account for all children and care at the facility." Correction: Immediately 11/19/2025, the facility must follow their own policies and procedures regarding where children are at all times. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern : Staff to child ratios are not being maintained. - FOUNDED

Corrected Corrected by Nov 19, 2025

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.

At the time of visit, reviewed the name to face sheet from 9/3/2025 and observed at 9 am, 13 children with one teacher. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ This is a direct violation of stipulation (D)." License fee shall comply with the required staff-to-child ratios at all times. Ratios in room capacities must be posted in each classroom." Correction: Immediately 11/19/2025, staff to child ratios must be maintained by all staff. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern : Facility failed to report an incident as required by statute and licensing regulations. - FOUNDED

Corrected Corrected by Nov 19, 2025

Category: ratio. Marked corrected in the state record.

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

Identified the facility failed to report two incidents to the proper authority within the required time frames. This is a direct violation of stipulation (Y) "Licensee shall immediately report suspected child abuse, or neglect to the appropriate county and human services or local law-enforcement agency Correction: Immediately 11/19/2025, all incidents must be reported immediately to the proper agencys. Submit a written

Open Not marked corrected in the state record

Open / not marked corrected.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified the facility failed to report two incidents to the proper authority within the required time frames. This is a direct violation of stipulation (Z) "Licensee shall immediately report to the department any county investigation or law enforcement investigation of child abuse/neglect." Correction: Immediately 11/19/2025, all incidents must be reported to licensing within 24 hours. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern : Parents were not notified of an incident. - FOUNDED

Corrected Corrected by Nov 19, 2025

Category: ratio. Marked corrected in the state record.

2.206.B.10 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children's illnesses, accidents, and injuries

Confirmed during the investigation, parents were not notified of incident that had occured until a week later. Correction: Immediately 11/19/2025, the facility must notfy parents immediately upon an incident occurring. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern :

Corrected Corrected by Nov 19, 2025

Marked corrected in the state record.

2.113.A · Violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the Department or to any agency lawfully delegated by the Department to make an investigation or inspection may result in fines assessed of not more than $250 a day the first day, $500 for the second day, and $1,000 a day for the third and subsequent days, to a maximum of $10,000:

Confirmed during the investigation, the facility reported to two other agencies that video footage was unavailable for review because it was live and deleted after a few days. Correction: Immediately 11/19/2025, any person intentionally making a false statement or report to the department or any agency delegated by the department to make an investigation can be fined. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 Stage II Licensing Concern : The facility completed an internal investigation prior to the proper authorities. - FOUNDED

Corrected Corrected by Nov 19, 2025

Marked corrected in the state record.

2.126.D.3 · An agency or facility must not interview staff or children regarding the specific allegation(s) of child abuse or child neglect until the county department of human or social services and/or local law enforcement agency has had the opportunity to interview all appropriate individuals and completed their investigation.

During the investigation, it was confirmed through staff statements that the facility reviewed video footage from 9/3/2025. It was also determined on 9/4/2025 that the facility investigated a potential unsupervised child in the preschool classroom. Correction: Immediately 11/19/2025, the facility must not investigate any reportable incidents. Submit a written statement of compliance by 11/26/2025. Correct by 11/19/2025 ________________________________________________ Stage II Licensing Concern : Children are not signed into the program. - UNFOUNDED

Corrected Corrected by Nov 19, 2025

Category: supervision. Marked corrected in the state record.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

At the time of visit, observed on the EPS playground to have holes and large burrows caused by a wild animal. Correction: Immediately 10/2/2025, indoor and outdoor equipment, materials and furnishings must be sturdy, safe and free of hazards. Submit documentation and a written statement of compliance by 10/16/2025. Correct by 10/02/2025

Corrected Corrected by Oct 2, 2025

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.

Confirmed through staff statement, staff member 1 force-fed an infant causing an injury. Correction: Immediately, children must not be subjected to physical harm. Submit a written statement of compliance by 2/13/2025 Correct by 01/31/2025 Stage II Licensing Concern : Staff smell like cigarettes. - FOUNDED

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

2.206.B.27 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure of the protection of infants from secondhand and thirdhand smoke; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Confirmed though staff statement staff member smokes and smelled like somke. Correction: Correct immediately, all infants need to be protected from second and third had smoke. Submit a written statement of compliance b y 2/13/25 Correct by 01/31/2025 Stage II Licensing Concern : Staff provided false information - FOUNDED

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

2.113.A.7 · Any person intentionally making a false statement or report to the Department or to any agency delegated by the Department to make an investigation or inspection under the provisions of the Child Care Licensing Act may be fined up to $250 a day for the first day, $500 for the second day, $1,000 a day for the third and subsequent days to a maximum of $10,000.

Confirmed through staff statement, staff member 1 was aware of causing an injury and failed to report accurate information. Correction: Immediately, all staff must not provide false statements or reports to the department or other agencies. Submit a written statement of compliance by 2/13/25 Correct by 01/31/2025 Stage II Licensing Concern : The facility failed to provide parents with an incident report. - FOUNDED

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

2.209.B.1 · The center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent(s)/guardian(s).

Reviewed the incident report. Confirmed through email timestamps, an incident report was not provided to the parents at the time of the incident. Correction: Immediately, the center must provide a copy of any injury report at the time of the injury. Submit a written statement of compliance by 2/13/2025. Correct by 01/31/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

2.223.D.4.c · A fitted sheet and a blanket, or suitable covering, must be provided for each child to be used only by that child.

In the Toddlers 1 classroom, observed one child lacking a sheet during naptime. Correction: Immediately, all children must be provided a sheet. Submit a written statement of compliance by 2/13/2025. Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

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.

Reviewed 1 staff file. SM1 completed the infant and toddler orientation, however, it was confirmed through staff member statement, SM1 did not use proper judgment and concern for the proper care of children during bottle feeding. Correction: Immediately, all staff must demonstrate proper judgment and concern for the proper care of children. Submit a written statement of compliance by 2/13/2025 Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

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

Reviewed 1 child file. Observed file lacking documentation of a health statement signed by a health care provider. Correction: The center must maintain a copy of the child's health statement completed by a health care provider. Submit documentation by 2/13/2025 Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

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

2.220.K · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 1 child file. Observed file lacking documentation of a parent/guardian authorizing topical preparation. Correction: Immediately, written authorization must be given prior to topical preparations being applied. Submit a written statement of compliance by 2/13/2025. Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

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.

In the Two's classroom, chairs were stacked more than 2 high, causing a potential hazard. The teacher's chair had a rip with foam covering, accessible to children. In the Preschool 1 classroom, a phone cord was on a low shelf, accessible to children. In the School-age classroom, the rug was torn, causing a potential tripping hazard. Correction: Immediately, all indoor furnishings must be safe, sturdy and free of hazards. Submit a written statement of compliance by 2/13/2025. Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

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

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

At the time of visit Infant room 1 had 10 infants in attandence, the room is licensed for 8 infants putting the room over the capacity. Correction: Correct immediately, the licensed room capacity must be maintained at all times. Corrected at the time of visit the director moved 5 infants into Infant room 2. SUbmit a statement of future compliance by 2/13/25 Correct by 01/31/2025

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

2.216.A.1 · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:

Reveiwed 3 staff files, Leysa R. working in the infant room alone. Correction: Correct immediately, all staff members assigned to a group of children must meet the ECT requirements.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.216.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.

At the time of the visit, reviewed 10 staff files and observed Emily C, Shaunna B. and Alondra C. to be lacking documentation of eight hours of orientation at the toddler program. Correction: Immediately (11/20/2024), Review all staff files. All staff members working under the supervision of the toddler early childhood teacher must complete 8 hours of toddler orientation. Submit documentation and a written statement of compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: supervision. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At the time of the visit, reviewed 10 staff files and observed Destiny B., Brianna W., Tiana B., Emily C., and Alondra C. to be lacking an updated Department-approved safe sleep training. Correction: Immediately ( 11/20/2024) Review all staff files. Staff working with infants less than 12 months old must complete a Department-approved safe sleep training. Submit documentation and a written statement of compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: physical safety. 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.

At the time of the visit, observed in the Two's classroom, that 14 children were in the classroom but only 13 children were signed in on the written attendance verification log. Correction: Immediately (11/20/2024), The time a child arrives and leaves the center each day must be recorded. Submit a written statement of compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.230.C.6 · All pieces of playground equipment must be designed to guard against entrapment and strangulation. Any openings in gross motor equipment above ground must be smaller than three and one half (3 ½) inches or greater than nine (9) inches to prevent entrapment.

At the time of the visit, observed on the preschool playground that 4 slides had separated from the platform, posing a strangulation hazard to children. Correction: Immediately (11/20/2024), all pieces of playground equipment must be designed to guard against entrapment and strangulation. Submit documentation and a written statement of compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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

2.229.C · Items labeled “keep out of reach of children” must be inaccessible to children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

At the time of the visit, observed in the Pre-K classroom in an unlocked cabinet, foam soap and peroxide labeled keep out of reach of children to be accessible to children. Correction: Immediately (11/20/2024), Items labeled keep out of reach of children must be inaccessible to children. **Corrected at the time of visit when the Director removed the items from the room, making all items inaccessible to children. Submit a written statement of future compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Marked corrected in the state record.

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

At the time of the visit, observed adult scissors in an unlocked cabinet in the Pre-K classroom, accessible to children. Correction: Immediately (11/20/2024), Sharp tools must be stored in areas inaccessible to children. *Corrected at the time of the visit when the Director removed the scissors from the room, making the scissors inaccessible to children. Submit a written statement of future compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

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.

At the time of the visit, reviewed 10 staff files and observed Brianna W., Alondra C., Tiana B. and Emily C., to be lacking an updated Department-approved training in standard precautions. Correction: Immediately ( 11/20/2024) Review all staff files. All staff must complete a Department-approved training in standard precautions. Submit documentation and a written statement of compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: recordkeeping. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

At the time of the visit, observed the fire inspection to have expired on 7/15/2024 and the health inspection to have expired on 8/18/2023. Correction: Immediately (11/20/2024), The facility must obtain an approved fire inspection report and an approved health inspection report. Submit documentation and a written statement of compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 2024

Category: health medication. 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.

At the time of the visit, reviewed 10 staff files and observed Brianna W. and Alondra C. to be lacking updated Department-approved prevention of shaken baby. Correction: Immediately ( 11/20/2024) Review all staff files. All staff working with children less than 3 years of age, must have an updated Department-approved prevention of shaken baby. Submit documenation and a written statement of compliance by 12/20/2024. Correct by 11/20/2024

Corrected Corrected by Nov 20, 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.

At the time of the visit, reviewed 10 staff files and observed Alondra C. and Brianna W. to be lacking an updated Department-approved introduction to First Aid and CPR module. Correction: Review all staff files. All staff not required by rule must complete Department-approved introduction to First Aid and CPR module. Submit documenation and a written statement of compliance by 12/20/2024. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Marked corrected in the state record.

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

At the time of the visit, reviewed 10 staff files and observed Shaunna B., Brianna W., and Alondra C. to be lacking the Department-approved training on implicit bias. Correction: Review all staff files. All staff must complete the Department-approved training on implicit bias. Submit documentation and a written statement of compliance by 12/20/2024. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

At the time of the visit, reviewed 10 staff files and observed Monica G. to be lacking documentation of the Department-approved training : Introduction to Child Care Health Consultation. Correction: Review all staff files. All directors and assistant directors must complete the the Department-approved training : Introduction to Child Care Health Consultation. Submit documentation and a written statement of compliance by 12/20/2024. Correct by 12/20/2024

Corrected Corrected by Dec 20, 2024

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

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

At the time of the visit, reviewed 10 staff files and observed Emily C. and Alondra C. to be lacking an hour of child development training. Correction: Review all staff files. All staff must have an hour of child development training.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

At the time of the visit, reviewed 10 staff files and observed Joey C., Tiana B., and Lesya R., to be lacking documentation verifying that they are in good mental, physical and emotional health. Correction: Review all staff files. All staff must have documentation verifying that they are in good mental, physical and emotional health. Submit a written statement of compliance by 12/20/2024. Correct by 12/20/2024

Corrected Corrected by Dec 20, 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 18 staff files and observed that Abril J, Emily C, Megan D, and Nada M. were missing documentation of a medical statement. Correction: Within 30 days, review all staff files and all staff members must submit to the center a medical statement, signed and dated by a physician or other health care provider. Submit documentation and a written statement of compliance by 2/16/2024. Correct by 02/16/2024

Corrected Corrected by Feb 16, 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 18 staff files and observed that Alexis M. was missing documentation of a current Standard FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Precautions. Correction: Immediately, review all staff files and all staff must complete a department-approved Standard Precautions training prior to working with children and annually. Submit documentation and a written statement of compliance by 1/31/2024. Correct by 01/17/2024

Corrected Corrected by Jan 17, 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 18 staff files and observed that Alexis M. and Joey C. were missing documentation of a current abuse prevention training. Correction: Within 30 days, review all staff files and all employees and regular volunteers must be trained using department-approved training about abuse prevention and must be taken within 30 days of employment and annually. Submit documentation and a written statement of compliance by 2/16/2024. Correct by 02/16/2024

Corrected Corrected by Feb 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Denver, CO 80246, during regular business hours.

Reviewed 8 children's files and observed that 1 child was missing documentation of a current health statement. Correction: Within 30 days, review all child files and statements of health status must be updated as required in writing by the health care provider. Submit a written statement of compliance by 2/16/2024. Correct by 02/16/2024

Corrected Corrected by Feb 16, 2024

Category: health medication. 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 2's Classroom, observed the bathroom to be cluttered with toys and furniture. Correction: Immediately, indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Submit a written statement of compliance by 1/31/2024. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

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