2.212.H · The duties and responsibilities of each staff position and the lines of authority and responsibility within the center must be in writing.

Upon arrival it was identified that the director was absent. Staff was unable to identify who was responsible for director duties. Correction: Duties of each staff and line of authority must be in writing at the center. Correct and provide a written statement of compliance. Correct by 05/09/2026

Corrected Corrected by May 9, 2026

Marked corrected in the state record.

2.211.B · Staff and children's records must be available, upon request, to authorized personnel of the Department.

Upon request staff was unable to provide records for review. Correction: Records must be available upon request. Correct and provide a written statement of compliance. Correct by 04/09/2026

Corrected Corrected by Apr 9, 2026

Category: recordkeeping. Marked corrected in the state record.

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

At the time of inspection there was no staff in the infant room with CPR and First Aid Certification. This is a direct violation of stipulation J on the probationary license. Probationary stipulation J states "Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule." Correction: There must be at least one staff on duty at all times that has CPR First Aid Certification. Correct and provide a written statement of compliance. Correct by 03/23/2026

Corrected Corrected by Mar 23, 2026

Category: recordkeeping. Marked corrected in the state record.

2.217.C.5 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

No record of consultations has been recorded since Sept of 2025. Correction: The date and content of each consultation must be recorded for 3 years. Correct and provide a written statement of compliance. Correct by 04/13/2026

Corrected Corrected by Apr 13, 2026

Category: recordkeeping. Marked corrected in the state record.

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

There was dish soap, accessible to children, next to the sink on the counter. This is a violation of stipulation M on the probationary license probationary stipulation M states Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age. Correction: Items labeled keep out of reach much be inaccessible. ***Corrected at time of inspection soap was placed in locked cabinet. No response needed. Correct by 01/21/2026

Corrected Corrected by Jan 21, 2026

Category: physical safety. 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 one staff file and found it to be missing documentation of a current training in disaster preparedness. Previously cited on 12/8/25. This is a violation of stipulation J on the probationary license probationary stipulation J states "Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule". Correction: Prior to caring for children all staff must complete a training in disaster preparedness. Correct and provide a written statement of compliance. Correct by 01/05/2026

Corrected Corrected by Jan 5, 2026

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 one staff file and found it to be missing documentation of a current training in disaster preoaredness. This is a violation of stipulation J on the probationary license probationary stipulation J states "Staff members must complete any trainings required for their assigned position prior to being placed in the classroom and/or per timelines as prescribed in rule". Correction: Prior to caring for children all staff must complete a training in disaster preparedness. Correct and provide a written statement of compliance. Correct by 12/08/2025

Corrected Corrected by Dec 8, 2025

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.

Reviewed 2 staff files and found one to be missing a health statement signed by a physician. Correction: All staff must have a health statement signed by a physician within 30 days after the first day of employment. Correct and provide a written statement of compliance. Correct by 10/30/2025

Corrected Corrected by Oct 30, 2025

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

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

There was a staff member alone in the infant room that did not have documentation of current infant CPR certification. Correction: THere must be at least one staff member on duty at all times who holds current approved certification in CPR.

Open Not marked corrected in the state record

Open / not marked corrected.

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 1 staff file. SM1 to be missing documentation of FBI clearance. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member 1 have reviewed the powerpoint within 24 hours. Submit documentation of FBI for staff member 1 with written response to the Specialist. Correct immediately. Correct by 09/12/2025

Corrected Corrected by Sep 12, 2025

Category: supervision. Marked corrected in the state record.

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

The cub board under the sink contained chemicals labeled Keep Out of Reach. The cupboard had a lock on it, but it was not locked. Correction: All items labeled Keep Out Of Reach items must be inaccessible to children. ***Correct at time of inspection, cup board was locked. Correct by 08/05/2025

Corrected Corrected by Aug 5, 2025

Marked corrected in the state record.

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

There were adult scissors on the counter accessible to children in the preschool room. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Sharp tools must be stored inaccessible to children. Correct and provide a written statement of compliance. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

Marked corrected in the state record.

2.223.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. These regulations are also available for public inspection and copying at the Colorado Department of Early Childhood, 710 S. Ash St., Bldg. C, Denver, CO 80246, during regular business hours. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

Two children in the infant room were observed using cots for nap. Both children were under 18 months. Correction: Children under 18 months enrolled in the infant program must be provided with an individual crib or other approved sleep equipment. Correct and provide a written statement of compliance. Correct by 07/11/2025

Corrected Corrected by Jul 11, 2025

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.

There were 2 packages of baby wipes labeled keep out of reach accessible to children in the preschool bathroom. Correction: Items labeled keep out of reach of children must be inaccessible to children. ***Corrected at time of inspection. Wipes places inaccessible*** no response needed. Correct by 06/18/2025

Corrected Corrected by Jun 18, 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 7 staff files and found Macie, Mariah, Laura and Heily to be missing a current medical statement signed by a health care provider. Correction: All staff must submit a medical statement signed by a health care provider within 30 days of employment and must provide a current one or a self reported health history annually. Correct and provide a written statement of compliance. Correct by 04/12/2025

Corrected Corrected by Apr 12, 2025

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

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed 7 staff files and found Liz to be missing a training in introduction to childcare health consultation. Correction: Within 90 days of employment all directors and assistant directors must complete a training in Introduction to Child Care Health Consultation ***Corrected at time of inspection. Liz completed the class. No response needed. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

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

2.217.C.4 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

The health consultation log has not been updated since October 2024. Correction: The date and content of each consultation must be recorded and maintained. Correct and provide a written statement of compliance. Correct by 04/12/2025

Corrected Corrected by Apr 12, 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.

There was Myers soap labeled keep out of reach of children, on a shelf accessible to children in the preschool room. Correction: All items labeled keep out of reach must be inaccessible. Correct and provide a written statement of compliance. Correct by 03/12/2025

Corrected Corrected by Mar 12, 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.

There was an unlocked drawer in the preschool room containing small clothespins and marker lids. There was a unlocked craft cabinet in the preschool room that had glue sticks (small lid) and beads accessible to children. There was a child under 3 years present. Correction: All toy parts and materials accessible to children under 3 years must not present a choke hazard. Correct and

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 7 staff files and found Liz to be missing a current training in Shaken Baby. Correction: Staff working with children under 3 years must complete a training in shaken baby and must renew every 2 years. ***Corrected at time of inspection Liz took the training. No response needed. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. 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 7 staff files and found Laura to be missing a current training in Standard Precautions. Correction: All staff must complete a training in Standard Precautions and must update annually. Correct and provide documentation with a written statement of compliance. Correct by 03/12/2025

Corrected Corrected by Mar 12, 2025

Category: recordkeeping. 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 6 child files and found them all to be missing authorization for emergency medical care. Correction: Admission record must include authorization for emergency medical care, must be updated annually. Correct and provide a written statement of compliance. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

Category: health medication. 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.

A drawer in the toddler room was not locked and contained small rubber bands and paper clips. Correction: Materials accessible to children under 3 must not be a choke hazard. Correct and provide a written statement of compliance. Correct by 10/30/2024

Corrected Corrected by Oct 30, 2024

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

2.216.C.1.a · The toddler early childhood teacher, a staff member assigned responsibility for a single group and working under the supervision of the director, must meet at least one (1) of the following qualifications:

Reviewed 5 staff files and found Michelle and Darlene, assigned to the toddler room, to be missing documentation of qualifications. Correction: The toddler ECT, must meet at least one of the following qualifications listed in Rule 216.C.1.a.1-6. Correct and provide documentation with a written statement of compliance. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: supervision. Marked corrected in the state record.

2.217.A.9 · At least one (1) staff member with the current Department-approved medication administration training and delegation must be on duty at all times.

Reviewed 5 staff files and found there to be no staff in the facility with current delegation. Correction: At least one staff member on duty must have current Dept. approved medication administration and delegation. Correct and provide documentation with a written statement of compliance. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: ratio. 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 7 child files and found 3 to be missing a current health statement. Correction: The center must maintain and update annually a health statement for each child that is completed by a health care provider. Correct and provide a written statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

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.

Reviewed 5 staff files and found Larua and Darlene to be missing a current training in Abuse prevention. Correction: Within 30 days of employment and annually each staff must complete an approved training in Child abuse prevention. Correct and provide documentation with a written statement of compliance. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. 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.

Reviewed 5 staff files and found Darlene to be missing training in Child Development. Correction: All staff must have at least 1 hour of child development training. Correct and provide documentation with a written statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.M · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ professional development each year, beginning with the start date of the employee. At least three (3) clock hours per year must be in the focus of social-emotional development.

Reviewed 5 staff files and found Macie to be missing 15 hours of ongoing professional development. Correction: All staff must complete 15 hours of ongoing professional development annually. Correct and provide a written statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Marked corrected in the state record.

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.

Reviewed 5 staff files and found Darlene and Michelle, assigned to the Toddler room, to be missing toddler orientation. Correction: Staff aides must have completed 8 hours of toddler orientation. Correct and provide a written statement of compliance. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: supervision. 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 5 staff files and found Michelle and Darlene, assigned to toddler classroom, to be missing documentation of CBI and FBI background checks. Correction: Criminal background check requests must be successfully completed prior to anindividual caring for children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI, TRAILS, Or Out of State background check, Out of State Clearance Letters) for staff with written response to Specialist. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: supervision. 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 5 staff files and found Darlene to be missing documentation of a training in disaster preparedness. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Prior to caring for children, all staff must complete an approved training in disaster preparedness. Correct and provide documentation with a written statement of compliance. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.C.4 · The date and content of each consultation must be recorded and maintained in the center's files for three (3) years.

The facility does not have documentation of Health Consultatn consultation notes. Correction: The date and content of each consultation must be recorded and maintained. Correct and provide a written statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

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

2.217.C.5 · For the Department-approved Child Care Health Consultant, the center must maintain documentation from the Colorado Department of Regulatory Agencies that the Registered Nurse or the Medical Doctor’s licensure is in good standing.

Reviewed the Child Care Health Consultant file and found her RN license to be expired. Correction: The approved Child Care Health Consultant must maintain documentation that the RN is in good standing. Correct and provide documentation with a written statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

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

2.217.C.8 · All Department-approved child care health consultants must complete the Department- approved Colorado Department of Public Health and Environment immunization course annually. The center must obtain and maintain proof of course completion.

Reviewed the Health Consultants file and found her to be missing a current Immunization course. Correction: The Health Consultant must complete and update annually the approved Immunization course. Correct and

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 7 child files and found one to be missing approved documentation of immunizations. Correction: At the time of admission each child must have approved documentation of immunization status. Correct and provide a written statement of compliance. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

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

2.224.A.5 · Foods offered shall be age appropriate and not pose a choking hazard.

While doing a safety walk through toddlers 12-36 months to were observed to be eating full sized grapes for lunch. Correction: Food offered shall not pose a choking hazard. Correct and provide a written statement of compliance. Correct by 04/30/2024

Corrected Corrected by Apr 30, 2024

Category: nutrition. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 found Darlene to be missing a current medical statement. Correction: All staff must submit a medical statement signed and dated by a health care provider within 30 days of employment. Correct and provide a written statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

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