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 Isalia to be missing documentation of a medical statement signed and dated by a health care provider. Correction: Obtain documentation of a medical statement signed and dated by a health care provider and add to file. Submit a written statement of compliance to specialist with response form. Correct by 03/04/2025

Corrected Corrected by Mar 4, 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.

Observed a plastic box of approximately 16 packages of baby wipes labeled "keep out of reach of children" on a shelf in the bathroom on the A side, accessible to children. Observed 2 packages of baby wiped labeled "keep out of reach of children" in an unlocked drawer in the cabinet in the bathroom on the A side, accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Correct immediately.

Open Not marked corrected in the state record

Open / not marked corrected.

2.229.E · Thumb tacks must not be used in areas accessible to children less than three (3) years of age.

Several thumb tacks used to display items in a bulletin board in the entry to the playground on the A side, accessible to children less than 3 years of age. Observed a thumb tack in the wall in the main entry on the A side and a thumb tack in the wall by the kitchen on the A side, accessible to children less than 3 years of age. Correction: Thumb tacks must not be used in areas accessible to children less than 3 years of age. Correct immediately. Corrected at the time of inspection. Director removed all thumb tacks 2/4/2025. No response required for this violation . Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

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

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

A large black plastic garbage bag on a shelf on the deck outside of the door to the outdoor play area on side A, accessible to children. Observed 2 small loose sandwich size plastic bags in an unlocked drawer in a cabinet on the B side, accessible to children. Correction: Plastic bags must be stored in areas inaccessible to children. Correct immediately. Corrected at the time of inspection. Director and staff moved all plastic bags to high shelves and locked areas, inaccessible to children 2/4/2025. No response required for this violation. Correct by 02/04/2025

Corrected Corrected by Feb 4, 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

A bag of small pom-poms in an unlocked drawer in a cabinet on the B side posing a potential choke hazard, accessible to children less than 3 years of age. Observed several containers of beads, small foam shapes, cotton balls in an unlocked cabinet posing a choke hazard, accessible to children less than 3 years of age. Correction: Toys, toy parts, furnishings, and any materials accessible to children less than 3 years of age must not be choke hazards. Correct immediately. Submit a written statement of compliance to specialist with response form. Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

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

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

2 puzzles on a low shelf on side B labeled for children ages 3 years and older, accessible to children. Identified through staff statement that there are several children less than 3 years of age in the room. Correction: Play equipment and materials must be appropriate for the children's age, size, developmental needs, ans activities. Correct immediately. Corrected at the time of inspection. Director removed the puzzles from the room 2/4/2025. No response required for this violation. Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

Category: physical safety. 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 5 staff files and observed Ana to be missing documentation of current Introduction to First Aid/ CPR module training. Identified through file review that Ana is not required by rule to be certified in First Aid / CPR. Correction: Obtain documentation of current Introduction to First Aid. CPR module and add to file. Submit a written statement of compliance to specialist with response form. Correct by 03/04/2025

Corrected Corrected by Mar 4, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 staff files and observed Anne Helena to be missing documentation of current Child Abuse prevention training. Correction: Obtain documentation of current Department approved training about child abuse prevention and add to file. Correct immediately. Submit a written statement of compliance to specialist with response form Correct by 02/04/2025

Corrected Corrected by Feb 4, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Identified through Director's statement that Columba and Anne Helena are responsible for the collection, review and maintenance of children's immunization records. Observed through file review that Columba and Anne Helena are missing documentation of current immunization training. Correction: Obtain documentation of Colorado Department of Public Health and Environment (CDPHE) immunization course and add to file. Submit a written statement of compliance to specialist with response form Correct by 03/04/2025

Corrected Corrected by Mar 4, 2025

Category: health medication. 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.

H.R.'s child abuse training expired 6/6/23. Observed no evidence of H.R. renewing this training annually. Correction: Obtain and maintain documentation of current training completion in personnel file. Correct by 03/04/2024

Corrected Corrected by Mar 4, 2024

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

Reviewed five staff files. Observed N.M.'s hire date was 12/5/23. Observed no evidence of a medical statement signed and dated by a health care professional in N.M.'s file. Correction: Obtain and maintain documentation in personnel file. Correct by 04/03/2024

Corrected Corrected by Apr 3, 2024

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

7.701.34.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.

Fire inspection report dated 4/11/22 indicated "annual" inspection. Observed no evidence of a current, approving fire inspection report. Correction: Obtain and maintain documentation of current, approving fire inspection report. Submit report to Licensing Specialist along with final, written response. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

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

7.702.32.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 daily sign in/out sheets for the past week (9/15/23 - 9/22/23). Identified through review of sign in/out sheets and through discussion with the Director, many parents forget to sign child in and out daily. Also observed several parents signing in and out with initials instead of signature. Correction: Immediately ensure all children are signed in and out daily. Ensure the parent/guardian includes full signature when signing children in and out. Notify Licensing Specialist in writing on how future compliance will be maintained. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: transportation. 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 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.

Observed half door, leading to the main (front) preschool classroom from the main entry, sticks and does not open freely. Correction: Immediately ensure exits are maintained to provide free and unobstructed egress. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.702.41.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing childcare centers. Staff members must sign a statement indicating that they have read and understand the licensing rules.

Observed G.E.'s hire date was 6/19/23. Identified through interview with G.E., G.E. has not read the licensing rules governing childcare centers. Correction: Ensure G.E. reads and is instructed about all licensing rules governing childcare centers. Obtain and maintain signed statement indicating G.E. has read and understands the licensing rules. Correct by 10/06/2023

Corrected Corrected by Oct 6, 2023

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 five staff files. Observed G.E.'s Standard Precautions training expired on 9/19/23. Observed no evidence of G.E. renewing this training annually. Correction: Immediately obtain and maintain documentation of training completion in personnel file. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

Category: ratio. Marked corrected in the state record.

7.701.32.K · . The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and must be available for review upon request by a Licensing Specialist.

A.R.V.'s hire date was 5/30/23. Observed no evidence of A.R.V.'s TRAILs clearance letter. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage powerpoint on the CDEC website. Submit verification that A.R.V. reviewed the powerpoint within 24 hours. Submit documentation of A.R.V's TRAILs clearance letter with written response to specialist. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

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

Several gaps in the wooden fence in the middle of the the large outdoor play yard. These gaps are accessible to children and measured 4 inches in width, which could be a potential entrapment hazard. Correction: Immediately ensure hazardous, high-risk areas are made inaccessible to children to reduce the possibility of injuries and accidents. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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

7.702.72.C.3.c · Preschool and school-age climbing equipment must have a six (6) foot use zone surrounding the equipment. For slides exceeding six (6) feet in height, the use zone from the base of the slide must be as long as the slide height.

Identified through discussion with staff the climbing structure with the white slide has been moved. Licensing Specialist measured the use zone between slide exit and adjacent wooden climbing structure. This use zone measured approximately 3 feet. Correction: Immediately ensure appropriate use zones surrounding climbing equipment is maintained at all times. Correct by 09/22/2023

Corrected Corrected by Sep 22, 2023

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