2.213.G · All employees and regular volunteers must be trained using a Department-approved training about Child Abuse Prevention prior to working with children, 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 identified SM3 with expired abuse prevention and mandated reporter training (exp. 3/25/26). Correction: Immediately ensure all staff complete abuse prevention and mandated reporter training prior to working with children and renew annually. Correct by 03/31/2026

Corrected Corrected by Mar 31, 2026

Category: recordkeeping. Marked corrected in the state record.

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 5 child files and identified 1 child (CH4) with immunizations listed on non-approved form. Correction: Immediately ensure documentation of school-required immunization status or certificate of medical or nonmedical exemption on CDPHE approved form is obtained for children prior to or on the first day of care. Correct by 03/31/2026

Corrected Corrected by Mar 31, 2026

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 5 child files and identified 3 lacking current health statement (CH3 had an expired health statement due 12/10/25, CH4 missing health statement, CH5 had an expired health statement due 1/27/26). Correction: Ensure within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center. Correct by 04/30/2026

Corrected Corrected by Apr 30, 2026

Category: ratio. Marked corrected in the state record.

2.131.A.1 · Every application used in the State of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: “Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”

Reviewed 6 staff files and identified Chris S. lacking documentation of signed perjury statement. Correction: Immediately ensure every application used in the state of Colorado for employment with a child care provider or facility, or for the certification of a foster home, must include the following notice to the applicant: "Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.” Correct by 05/01/2025

Corrected Corrected by May 1, 2025

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 6 staff files and identified Mary A., not required by rule to be certified in First Aid and CPR, lacking documentation of Introduction to First AId and CPR module within 30 days of hire. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure 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. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

Marked corrected in the state record.

2.127.D · All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

Licensing classrooms lacking posted room capacity and staff to child ratio. Correction: Immediately ensure the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Category: ratio. 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 6 staff files and identified Erica C. lacking Out of State background check clearance letter maintained in staff file and resided out of state within th past 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Erica C. has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check for Erica C. with written response to the Specialist. Correct by 05/01/2025

Corrected Corrected by May 1, 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 6 staff files and identified Erica C. lacking health statement maintained in staff file. Correction: Ensure 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. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

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

2.210.A · A record must be maintained, either written or electronic, for each staff member that includes the following:

Reviewed 6 staff files and identified Chris S. lacking complete staff file with all required information and documentation. Correction: Ensure record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training; Immunization record or statement, and health history; Dates of employment and employment history; Names, addresses, and telephone numbers of persons to be notified in the event of an emergency. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

Category: recordkeeping. Marked corrected in the state record.

2.212.K · Within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ have read and understand the licensing rules.

Reviewed 6 staff files and identified Chris S. lacking signed statement that they have read and understand the licensing rules. Correction: Ensure within thirty (30) calendar days of employment at the center, each staff member must read and be instructed about all licensing rules governing child care centers. Staff members must sign a statement indicating that they have read and understand the licensing rules. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

Marked corrected in the state record.

2.212.J · Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

Reviewed 6 staff files and identified Chris S. lacking signed statement indicating that they have read and understand the center's policies and procedures. Correction: Immediately ensure prior to working with children, each staff member must read and be instructed about all policies and procedures of the center. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Marked corrected in the state record.

2.212.N · Prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures

Reviewed 6 staff files and identified Chris S. lacking documentation of signed medication administration policies and procedures statement. Correction: Immediately ensure prior to working with children, each staff member must read and be trained on the center’s policies and procedures for the administration of medications. Staff members must sign a statement indicating that they have read and have been trained on the center's administration of medications policies and procedures. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Category: ratio. Marked corrected in the state record.

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams.

Reviewed 3 child files and identified 1 with an expired health statement. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Ensure health statements for children over two (2) years of age to seven (7) years of age are updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule for routine well child exams. Correct by 05/31/2025

Corrected Corrected by May 31, 2025

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

2.126.A · A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 6 staff files and identified Chris S. lacking documentation of abuse reporter statement. Correction: Immediately ensure each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member’s personal responsibility to report all incidents of child abuse or neglect according to state law. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 6 staff files and identified Chris S. lacking documentation of pre-service training. Correction: Immediately ensure all staff must complete a pre-service building and physical premises safety training prior to working with children. Correct by 05/01/2025

Corrected Corrected by May 1, 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 6 staff files and identified Erica C. lacking documentation of mandate Correction: Immediately ensure 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. Correct by 05/01/2025

Corrected Corrected by May 1, 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 6 staff files and identified Erica C. with expired Standard Precautions training. Correction: Immediately ensure all staff complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Category: recordkeeping. Marked corrected in the state record.

2.217.A.8.b · Full day programs may have Assistant Early Childhood Teachers supervise preschool-age and older children during the following periods of operation: Nap time: an Assistant Early Childhood Teacher may be alone with children for up to one (1) hour during nap

Mary A. was left alone in the nap room with napping child at the time of visit and lacking verification of Assistant ECT qualifications. Correction: Immediately ensure full day programs may have Assistant Early Childhood Teachers supervise preschool-age and older children during the following periods of operation: Nap time: an Assistant Early Childhood Teacher may be alone with children for up to one (1) hour during nap. Corrected at the time of visit. All children and staff joined the same group when napping child was awake. Document plan of compliance in written response. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Category: supervision. Marked corrected in the state record.

2.216.E · An assistant early childhood teacher, assigned responsibility for a single group of children during times specified in rule section 2.217, must meet one (1) of the following qualifications:

Reviewed 6 staff files and identified Mary A. lacking documentation of Assistant ECT qualifications and left FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ alone in the nap room with 1 napping child at the time of visit. Correction: Immediately ensure Assistant ECTs maintain documentation of qualificaitons in staff file. An assistant early childhood teacher, assigned responsibility for a single group of children during times specified in rule section 2.217. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Marked corrected in the state record.

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

Box of loose gallon size bags accessible to children in unlocked drawer in Classroom 2. Correction: Immediately ensure loose plastic bags must be stored in areas inaccessible to children. Corrected at the time of visit. Box of loose bags was moved to higher level and no longer accessible to children. NO RESPONSE REQUIRED. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Marked corrected in the state record.

2.230.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.

Approximately a dozen loose wooden stumps within 6' use zone of rope climber measuring over 18" in height. Correction: Immediately ensure preschool and school-age climbing equipment has a 6' foot use zone surrounding the equipment. Corrected at the time of visit. All loose stumps were removed and placed outside of 6' use zone. NO RESPONSE REQUIRED. Correct by 05/01/2025

Corrected Corrected by May 1, 2025

Category: physical safety. 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

Tree house/loft area in Classroom 1 and stairway leading up to loft is not easily supervised by staff who are in the main classroom area. Correction: Ensure prior to license approval tree house and stairway is designed to allow for all children to be under the direct supervision of staff. Submit photo verification of tree house and document correction in written response. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: supervision. Marked corrected in the state record.

2.213.A · All staff must complete a pre-service building and physical premises safety training prior to working with children. The training must include identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, vehicular traffic handling and storage of hazardous materials and the appropriate disposal of biological contaminants.

Reviewed 5 staff files and identified all staff lacking verification of pre-service training for new building prior to working with children. Correction: Ensure prior to license approval all staff complete site-specific pre-service training and verification maintained in staff files. Document correction in written response. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.8 · 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:Written authorization, obtained in advance of the event from a parent/guardian, for a child to participate in field trips or special activities, whether scheduled or unscheduled, whether walking or riding in an approved vehicle;

Reviewed walking field trip permission form and identified it had not been updated with specifics for new location. Correction: Ensure prior to license approval the field trip permission form is updated and all admission records include written authorization, obtained in advance of the event from a parent/guardian, for a child to participate in field trips or special activities, whether scheduled or unscheduled, whether walking or riding in an approved vehicle. Document correction in written response. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: transportation. Marked corrected in the state record.

2.137.A · All child care providers must have a written plan for continuity of operations in the aftermath of an emergency or disaster. Components of the plan must include:

Reviewed documentation provided and identified facility lacking written plan for the continuity of operations in the aftermath of an emergency or disaster. Correction: Ensure facility develops a written plan for the continuity of operations in the aftermath of an emergency or disaster that include: 1. Responsibility for essential staffing needs and predetermined roles during and after the emergency or disaster; 2. Procedure for backing up or retrieving staff and children’s files; and 3. Procedure for protecting confidential and financial records. Submit copy of plan and document correction in written response. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: ratio. Marked corrected in the state record.

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender registry check c. State abuse and neglect registry check

Reviewed 3 staff files and identified Sabine lacking verification of out-of-state background checklist confirming CO as the only state of residence in the past 5 years or final out-of-state clearance letters maintained in staff files. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Sabine has reviewed the powerpoint within 24 hours. Submit documentation of completed out-of-state clearance letter or checklist confirming CO as the only state of residence in the past 5 years for Sabine with written response to specialist. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Category: supervision. Marked corrected in the state record.

7.701.56.B · . At all times during the operating hours of a family child care home, child care center, school-age FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ child care center, or children's resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility by the parent or legal guardian of a child or their designee.

Most recent ROI or notice as to where it may be reviewed was not posted at the time of arrival. Correction: Immediately ensure At all times during the operating hours of a family child care home, child care center, school-age child care center, or children's resident camp, the facility must post its most recent licensing inspection report or a notice as to where the report may be reviewed at the facility. Corrected at the time of visit. Notice was posted to inform individuals where the most recent ROI may be reviewed. NO RESPONSE REQUIRED. Correct by 08/02/2023

Corrected Corrected by Aug 2, 2023

Marked corrected in the state record.