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

At the time of inspection the specialist observed wipes labeled "keep out of reach of children" on a low shelf accessible to children in the Preschool Classroom. In the Preschool Bathroom also observed wipes labeled "keep out of reach" were also observed on top of the toilet, accessible to children. Also in the Preschool Bathroom, several diaper creams, Aquaphor, and boogie spray in a plastic drawer in the bathroom labled "keep out of reach of children" accessible to children. On the West side of the building were the Preschool and Prek aged children walk through the specialist observed potting soil labeled "keep out of reach of children" accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessibe to children. Submit a written response of compliance to the specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

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 inspection the specialist observed insect repellent in a sink in the Preschool Bathroom causing a potental hazard to children. Also in the same Preschool Bathroom the specialist observed a drain on the floor without a cover or mesh across the whole causing a potental hazard to children. Outside on the Preschool Playground the specialist observed trash and debri on the ground of the playground, causing a potenal hazard to children. The specialist also observed a box-cutting knife in the sink in the Preschool classroom, along with some other items, causing a potential FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hazard to children. Correction: Indoor and outdoor equipment materials and furnishing must be sturdy, safe and free of hazards. Submit a written response of compliance to the specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

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

Violation

The specialist reveiwed 8 staff files and observed SM1 missing current documentation of Safe Sleep training. Correction: Obtain current documentation of Safe Sleep training. Submit a written response of compliance to the specialist and documentation of completed training to the specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

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

Violation

The specialist reveiwed 8 staff files and observed SM1 missing current documentation of Child Abuse Prevention training. Correction: Obtain current documentation of Child Abuse Prevention training. Submit a written response of compliance to the specialist and documentation of completed training to the specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

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

At the time of inspection, the specialist reviewed the documentation of drill logs. After reviewing the written documentation the specialist observed no written documentation of Fire Drills being completed for the months of December, Janruary and February. Also missing written documentation of Tornado Drills being completed on March and October. In addition, missing two lockdowns for 2025 Correction: 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 drills. Submit a written response of compliance to the specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Category: recordkeeping. 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 8 staff files observed SM2 missing current documentation of Out of State Clearance letter. SM2 indicated on checklist that SM2 has lived out of the state of Colorado in the last 5 years. 2.120. Correction: Obtain Out of State clearance letter for SM2. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member 2 have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letter for staff member 2 with written response to the Specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Category: supervision. Marked corrected in the state record.

2.120.C.1.a.1 · 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: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ supervised at all times by an individual who has successfully completed all required background checks.

At the time of inspection the specialist observed SM2 alone in the Pre K classroom supervising 4 children ages 4 years to 5 years of age. The specialist reviewed SM2 staff file and observed no documentation of a Out of State Clearance letter for staff member. Correction: Individuals must be supervised at all times by an individual who has successfully completed all required background checks. Submit a written response of compliance to the specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

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 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;

The specialist reviewed 3 child files and observed 2 children missing current documentation of Emergency Medical Authorization. Correction: Obtain current documentation of Emergency Medical Authorization for both children. Submit a written response of compliance to the specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Category: health medication. 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

The specialist reviewed 3 child files and observed 1 child with an expired health statement. Correction: Obtain a current health statement for the one child. Submit a written response of compliance to the specialist. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

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 11 staff files and observed McKenzie to be missing a current medical statement signed and dated by a physican. Correction: Obtain a current health statement for staff member. Submit a written response of compliance to the specialist. Correct by 04/18/2025

Corrected Corrected by Apr 18, 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 children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 11 staff files and observed Tiffany to be missing a current Standard Precautions training. Correction: Obtain a current Standard Precautions training for the staff member. Submit a written response to the specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Identified through staff statement, Tiffany does spend time in the infant room. Specialist reviewed Tiffany file and observed Tiffany to be missing current documentation of Safe Sleep training. Correction: Obtain a current Safe Sleep training, for staff member. Submit a written response of compliance to the specailist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

Category: physical safety. 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 11 staff files and observed Tiffany to be missing a current Child Abuse Prevention training. Correction: Obtain a current Child Abuse Prevention training for staff member. Submit a written response of compliance to the specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 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 staff statement that Tiffany collects, reviews, and maintains child immunization records at the program. Specialist reviewed Tiffany's file and observed Tiffany to be missing a current Child Immunization training. Correction: Obtain a current immunization training for staff member. Submit a written response of compliance to the specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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 11 staff files and observed Tiffany with a hire date of 11/13/23 and Faith with a hire date of 8/27/24 to be missing an out-of-state clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Tiffany and Faith have reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check, for staff members Tiffany and Faith with written response to the Specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 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.

In the preschool classroom, observed wipes on a low table accessible to children labeled "keep out of reach". In the infant classroom observed wipes labled "keep out of reach" on a countertop near the diaper changing area within arms reach of children. On the west side of the building observed potting soil on the ground labeled "keep out of reach of children" accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Submit a written response of compliance to the specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

Marked corrected in the state record.

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

On the preschool playground observed a torn overhead shaded area, as well as trash and debris on the preschool playground causing a potential hazard. Correction: Indoor and outdoor equipment, materials and furnishings must be sturdy,safe and free of hazards. Submit a written response of compliance to the specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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

2.230.C.1.c · Loose fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six (6) inches.

On the preschool playground observed less than 6 inches of resilient material under the swings and the play structure. Correction: Loos fill resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least six inches. Submit a written response of compliance to the specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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

2.120.C.2 · 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: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Reviewed 11 staff files and observed Peyton and Terreance to be missing current documentation of TRAILS clearance letter. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Peyton and Terreance have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS, for staff members Terreance and Peyton with written response to the Specialist. Correct by 03/18/2025

Corrected Corrected by Mar 18, 2025

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

2.120.C.2 · 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: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Identified through staff statement that Anna Baker was in a classroom prior to submission of TRAILS background check. After reviewing staff file, observed Anna Baker date of hire was 5/31/24 and last day of employment was 6/18/2024. Director stated that submission of TRAILS was not completed while staff member was employed. Correction: TRAILS must be submitted within 10 days of the first day of employment. Submit a written response of compliance to specialist. Correct by 06/24/2024 ________________________________________________

Corrected Corrected by Jun 24, 2024

Category: background checks. 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 7 staff files and observed Cheyenne H to be missing Infant and Toddler orientation. At the time of inspection Cheyenne H was working in the Toddler Classroom. Correction: All staff working with Infant and Toddler Classrooms must have 8 hours of orientation. Submit a written response of compliance to specialist. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: supervision. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ submitted annually.

Reviewed 7 staff files and observed Bethany W, Ashly H, and Cheyenne H to be missing documentation of medical statement signed and dated by a physician. Correction: Obtain a current medical statement, for each staff member. Submit a written response of compliance to specialist. Correct by 05/18/2024

Corrected Corrected by May 18, 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 7 staff files and observed Ashly H and Kaitlin B to be missing current documentation of Standard Precautions Training. Correction: All staff must complete a Department-approved Standard Precautions Training prior to working with children. Submit a written response of compliance to specialist and documentation of completed training. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.C · Staff working with infants less than twelve (12) months old must complete a Department-approved safe sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 7 staff files and observed Ashly H to be missing a current Safe Sleep training. At the time of inspection Ashly H was working in the Infant classroom. Correction: All staff working with infants less than 12 months old must complete a Department-approved safe sleep training prior to working with infants. Obtain current documentation of Safe Sleep training for staff member. Submit a written response of compliance to specialist and documentation of completed training. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ renewed annually.

Reviewed 7 staff files and observed Ashly H and Kaitlin to be missing current documentation of Child Abuse Prevention training. Correction: Obtain current documentation of Child Abuse Prevention training for all staff. Submit a written response of compliance to specialist and documentation of completed training. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. 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 documentation of emergency drills and observed no documentation of drills. Correction: Submit a written response of compliance to specialist. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

Category: recordkeeping. 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 4 child files and observed one child to be missing current documentation of health statement completed by a health care provider. Correction: Obtain documentation of current health statement for each child. Submit a written response of compliance to specialist. Correct by 05/18/2024

Corrected Corrected by May 18, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ authorization must be notarized if required by the local hospital, clinic, or emergency health care facility;

Reviewed 4 child files and observed 1 child files missing current documentation of emergency medical authorization. Correction: Obtain current documentation of emergency medical authorization for each child. Submit a written response of compliance. Correct by 04/18/2024

Corrected Corrected by Apr 18, 2024

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