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

In the Preschool A Classroom, chipping paint near the coat hooks where children hang up their belongings, causing a potential hazard to children. In the Pre K 2 Classroom, chipping paint on the bottom trim causing a potential hazard to children. 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 04/25/2025

Corrected Corrected by Apr 25, 2025

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

2.238.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.

In the EP2 classroom observed 3 cots leaning up against the wall and a large laundry basket on the floor in front of the exit door of the classroom. Correction: 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. ****Corrected at time of inspection, Director moved the cots away from the exit door stacking them in the cot area and removed the laundry basket from in front of the door. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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

2.217.A.10.a · At nap time, the child to staff ratio may be doubled for children two and one half (2 ½) years of age and older in preschool classrooms when the following conditions have been met: At least half of the children are sleeping;

In the Preschool Classroom observed Sangeetha was alone during naptime supervising 17 children ages 3 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ years old to 4 years old. At the time of inspection, the specialist observed 14 children awake. Correction: At nap time, the child to staff ratio may be doubled for children 2 1/2 years of age and older in preschool classrooms when the following conditions have been met: At least half of the children are sleeping. ****Corrected at the time of inspection, the Assistant Director went into the Preschool Classroom, to assist and help maintain the ratio. Correct by 04/03/2025

Corrected Corrected by Apr 3, 2025

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 submitted annually.

Reviewed 3 staff files and observed Alexa to be missing a current medical statement signed and dated by the physician. Correction: Obtain a current medical statement for the staff member. Submit a written response of compliance to the specialist. Correct by 04/11/2025

Corrected Corrected by Apr 11, 2025

Category: health medication. 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.

At the time of inspection, observed the Preschool Classroom on the playground structure. The specialist measured the resilient surface and identified that the ground was frozen. Correction: Loose filling resilient surface must be raked regularly to retain its resiliency and to retain a depth of at least 6 inches. Correct by 01/28/2025

Corrected Corrected by Jan 28, 2025

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

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

In the Infant Classroom, the specialist observed a child who required an individualize health care plan. Correction: Obtain an individualized health care plan. Submit a written response of compliance to the specialist. Correct by 02/28/2025

Corrected Corrected by Feb 28, 2025

Category: supervision. Marked corrected in the state record.

2.238.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.

At the time of inspection, scooters and an art easel were observed in the EP1 Classroom blocking the exit door. Correction: Exits must be arranged and maintained so as to provide free and unobstructed egress. *****Corrected at time of inspection, the Assistant Director removed the scooters and the art easel away from the exit door. Correct by 01/28/2025

Corrected Corrected by Jan 28, 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.

In the EP2 classroom specialist observed sunscreen on a low table accessible to children, causing a potential hazard to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. ****Assistant Director moved the sunscreen to bathroom on the top shelf making the item inaccessible to children. No response is required. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

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

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 1 staff member to 10 children.

In the EP1 classroom observed Lily in the bathroom assisting with diaper changing with 2 children ages 2.5 and older. And Chloe was alone supervising 11 children ages 2.5 and older alone in the EP2 classroom at the time of inspection. Correction: Staff to child ratios must be followed at all times. ****Corrected at time of inspection, Chloe sent over 3 children to Lily in the EP2 classroom to maintain ratios. No response is required. Correct by 12/17/2024

Corrected Corrected by Dec 17, 2024

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 Preschool 2 classroom, observed sunscreen labeled "keep out of reach" on a low table accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. ****Corrected at time of inspection, Viji sat down at the table were the sunscreen was to make the sunscreen inaccessible to children. No response is required. Correct by 12/03/2024

Corrected Corrected by Dec 3, 2024

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.

Identified through staff statement that SM1 served hot food to children and CH1 stuck their hands in the hot food causing an injury to CH1. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment and concern for the proper care and well-being of children. Submit a written plan of compliance to specialist. Correct by 08/20/2024 Stage II Licensing Concern : The facility did not report a reportable incident to the department - FOUNDED

Corrected Corrected by Aug 20, 2024

Category: nutrition. Marked corrected in the state record.

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 through staff statement on 6/18/2024 a reportable incident occurred at the facility and was not reported by the facility. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Within 24 hours, excluding weekends and holidays, of occurrence of a critical incident at the facility involving a child in care of the facility or staff member on duty: Any allegations 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 service agency or the child abuse reporting hotline. Submit a written plan of compliance to specialist. Correct by 08/20/2024 Stage II Licensing Concern : CH1 crying in crib for 15-20 minutes - FOUNDED

Corrected Corrected by Aug 20, 2024

Category: ratio. Marked corrected in the state record.

2.223.B.3 · Staff must investigate whenever children cry, scream, or appear to withdraw and must try to verbally or physically soothe the child. When putting infants to sleep, staff may allow for a period of no longer than ten (10) minutes without verbally or physically soothing the child to enable the infant to try to self soothe and fall asleep.

Identified through staff statement that CH1 was placed in the crib, and cried for 15-20 minutes until CH1 fell asleep on their own. SM1 did not attempt to verbally or physically soothe CH1. Correction: Staff must investigate whenever children cry, scream or appear to withdraw and must try to verbally or physically soothe the child. When putting infants to sleep, staff may allow for a period of no longer than 10 minutes without verbally or physically soothing the child. Submit a written response of compliance to specialist. Correct by 08/20/2024 Stage II Licensing Concern : SM1 picking up children incorrectly by the wrist and by one arm, SM1 speaking harshly to children. - FOUNDED

Corrected Corrected by Aug 20, 2024

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

2.225.C · The director must not use, or permit a staff person or child to use, corporal punishment as defined in section 22-1-140, C.R.S.

Identified through staff statement that SM1 regularly picked up children in correctly by the wrists and would FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ use a harsh tone when addressing behaviors. Correction: The Director must not use, or permit a staff person or child to use corporal punishment. Submit a written response of compliance to specialist. Correct by 08/20/2024 Stage II Licensing Concern : No incident report provided to parent - FOUNDED

Corrected Corrected by Aug 20, 2024

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).

Identified through staff statement that the facility did not provide parents/guardians a copy of the incident report. Correction: A written record of any serious accident, illness or injury occurring during care must be retained in each childs record, with a copy provided to the parents/guardian. Submit a written response of compliance to specialist. Correct by 08/20/2024 Stage II Licensing Concern : Parents were not notified of a incident - FOUNDED

Corrected Corrected by Aug 20, 2024

Category: recordkeeping. 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

Identified through staff statement that SM1 did not follow the facility's written policies and procedures including notification of parents/guardians for handling children's injuries. Correction: Submit a written plan of compliance to specialist. Correct by 08/20/2024

Corrected Corrected by Aug 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.

Reviewed 25 staff files and observed Matilda S and Alize C to be missing current documentation of Standard Precautions training. Correction: Obtain current documentation of Standard Precautions training for all staff. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.H · 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 training course: Introduction to the Early Intervention and Preschool Special Education Programs. This course is required once and will be counted towards ongoing professional development.

Reviewed 25 staff files and observed Matilda S to be missing Introduction to the Early Intervention and Preschool Special Education Programs training Correction: Obtain documentation of completed Introduction to the Early Intervention and Preschool Special Education

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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.

In the EP2 classroom observed small clothes pins hanging up artwork, and observed cube connectors on a low shelf in the EP2 classroom. Posing a potential choking hazard to children under the age of three years old. Correction: All materials accessible to children under the age of three years of age must not be a choke hazard. *****Corrected at time of inspection, teacher removed the clothes pins off of the wall and Assistant Director removed the container of cubes out of the classroom and placed them in the teachers’ lounge. Making both items in accessible to children. No response is required. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

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 25 staff files and observed Alize C and Caitlin T to be missing documentation of First Aid and CPR. Correction: Obtain documentation of First Aid and CPR for all staff. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

Marked corrected in the state record.

2.213.D · Staff working with children less than three (3) years of age must complete a Department-approved prevention of shaken baby/abusive head trauma training prior to working with children less than three (3) years of age. This training must be renewed every two (2) years and will be counted towards ongoing professional development.

Reviewed 25 staff files and observed Matilda S and Alize C to be missing current documentation of prevention of shaken baby/abusive head trauma training. Correction: Obtain current documentation of prevention of shaken baby/ abusive head trauma for all staff. Correct by

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

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 25 staff files and observed Matilda S and Alize C to be missing current documentation of safe sleep training. Correction: Obtain documentation of safe sleep training for all staff. Correct by 01/17/2024

Corrected Corrected by Jan 17, 2024

Category: physical safety. 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 25 staff files and observed Tyla H and Alize C to be missing a current health statement. Correction: Obtain current documentation of health statement for all staff. Correct by 02/17/2024

Corrected Corrected by Feb 17, 2024

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

Reviewed 14 child files and observed 3 children files missing current documentation of a health statement completed by a health care provider. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Obtain current documentation of a health care statement for all children. Correct by 02/17/2024

Corrected Corrected by Feb 17, 2024

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