2.217.A.2 · For full day programs, during times of low attendance and/or during the first and last hour of the day, when only eight (8) or fewer children are present in the facility, there must be at least one (1) early childhood teacher or assistant early childhood teacher working with the children and a second staff member must be on site and immediately available. There must be no more than two (2) children less than the age of two (2) present. When nine (9) or more children are in attendance, at least two (2) staff members must be on duty.

At time of inspection, Nine children were observed, 2 under 2 years, and 7 preschool all combined in the toddler room with 2 staff. Correction: When there are more than eight children present, children must be seperated into their assigned classrooms. Correct Immediately. Document compliance to licensing specialist with written response and future plan of compliance for program. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

Marked corrected in the state record.

2.120.C.1.a · 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: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

At time of inspection Grace H. to be missing TRAILS clearance letters. Correction: All staff involved in the care or supervising children or who have unsupervised access to children must request a TRAILS child abuse and neglect record on a state prescribed form prior to working with children. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage PowerPoint on the

Open Not marked corrected in the state record

Category: supervision. 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 three staff files. Elisa L. to be missing shaken baby/abusive head trauma training documentation. Correction: All staff working with children less than three (3) year of age must complete a department-approved shaken baby/abusive head trauma training prior to working with children. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 07/15/2025

Corrected Corrected by Jul 15, 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 three staff files. Elisa L. to have expired standard precautions training documentation. Correction: All staff must complete department-approved standard precautions training prior to working with children and must be updated annually. Correct Immediately. Document compliance to licensing specialist with written response. Correct by 07/15/2025

Corrected Corrected by Jul 15, 2025

Category: recordkeeping. 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.

At time of inspection Grace H. to be missing CBI clearance letter and Elisa L. to be missing CBI/FBI clearance letter. Correction: Staff who have successfully completed their CBI or FBI background checks may care for children while directly supervised by a staff member who has completed all required background checks. Correct immediately. All individuals

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

2.215.A.2 · The director or substitute director of a small center must either: meet large center director qualifications or meet at least one (1) of the following qualifications: Possess a current early childhood professional credential level II or higher in version 3.0 as determined by the Department; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed three staff files reviewed. Whitney W. Haley W. to be missing director or substitute director professional credential. Correction: The director or substitute director of small center must meet center director qualifications or meet at least one (1) of the following qualifications: Possess a current early childhood professional credential level II or higher in version 3.0 as determined by the department. Correct Immediately. Document compliance to licensing specialist with written response and copy of credential. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Marked corrected in the state record.

2.216.A.1.e · An early childhood teacher, assigned responsibility for a single group of children and working under the supervision of a director, must be at least eighteen (18) years of age and meet at least one (1) of the following qualifications:A current early childhood professional credential level II or higher in version 3.0 as determined by the Department;

Reviewed three staff files reviewed. Whitney W. Haley W. and Shayne W. to be missing professional credential levels. Correction: An early childhood teacher assigned responsibility for a group of children working under the supervision of the director, must be at least 18 years old and have a professional credential level II or higher. Correct Immediately. Document compliance to licensing specialist with written response and copy of credential. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: supervision. Marked corrected in the state record.

2.217.A.7 · There must be assigned at least one (1) qualified early childhood teacher supervising each group of children unless otherwise specified in rules. A director may be the assigned teacher for one (1) group of children.

At time of inspection toddler and preschool children were together in the common room #1. A total of seven children were combined, three toddlers and four preschool children, earlier in the day Hailey W. had the toddlers in the toddler room and Whitney W. had the preschoolers in the preschool room. Hailey W. and Whitney W. to be missing teacher qualification for each classroom. Correction: There must be assigned at least one (1) qualified early childhood teacher supervising each group of children, director can be one of the assigned teachers. Correct Immediately. Document compliance to licensing specialist with written response and copy of teacher qualification. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Category: supervision. Marked corrected in the state record.

2.233.C.2 · If the toddler program is combined with a large child care center or an infant program, toddler facilities, both indoor and outdoor, must be completely separate from facilities for other age groups, except as allowed by rule sections 2.232(A)(6) and (8). If the facility wishes to provide opportunities for a toddler to have occasional contact with siblings, plans must be approved by the Department licensing representative.

Toddler and Preschool children were combined in the common room #1. A total of seven children were combined, three toddlers and four preschool children. Correction: In a child care center toddlers must be separated from other age groups. Correct Immediately. Document compliance to licensing specialist with written response and copy of teacher qualification. Correct by 05/08/2025

Corrected Corrected by May 8, 2025

Marked corrected in the state record.

2.209.A · 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:

Reviewed three files. One child to be missing the entire admission records of the following: child's and parent address, parent work information, field trip authorization, transportation authorization, topical authorization and policy authorization. Correction: An admission record must be completed for each child prior to the child's admission records to include the following: child's and parent address, parent work information, field trip authorization, transportation authorization, topical

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.

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 three children files. Two to have expired documentation of written authorization for emergency medical care. Correction: An admission record must include written authorization for emergency medical care signed and updated annually by parents/guardians. Correct immediately. Document compliance to licensing specialist with written response. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

Category: health medication. 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 supervised at all times by an individual who has successfully completed all required background checks.

Reviewed two staff files. Whitney W., and Haley W., to be missing TRAILS clearance letter. Correction: TRAILS background check requests must be successfully completed prior to working with children. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Whitney W., and Haley W., have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS) for staff members with written response to the

Open Not marked corrected in the state record

Category: supervision. 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 two staff files. Whitney W., and Haley W., to be missing CBI clearance letter. Correction: Criminal background check requests must be successfully completed prior to working with children. Correct immediately. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Whitney W., and Haley W., have reviewed the powerpoint within 24 hours. Submit documentation of (CBI) for staff members with written response to the Specialist. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

Category: supervision. Marked corrected in the state record.

2.223.D.4 · In the toddler room, a crib, sleeping cot, or two (2) inch mat must be provided for each child, and there must be a minimum of two (2) feet between each crib or cot. Aisles between cots or cribs must be kept free of all obstructions while cribs are occupied. No child less than the age of two (2) years should use a cot for sleeping without written permission of the parent or guardian.

Toddler was in a crib sleeping with a large crib cover covering the entire crib. Correction: In the toddler room, a crib, sleeping cot or two inch mat must be provided to each child, and there must be a minimum of two feet between each crib or cots. Correct immediately. Document compliance to licensing specialist with written response. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ least six (6) inches.

Toddler playground resilient surface was flat and did not meet the required 6 in resilient surface. Resilient surface needs to be fluffed or raked. Correction: Loose fill resilient surface must be raked regularly to retain a depth of at least six inches. Correct immediately. Document compliance to licensing specialist with written response. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

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

2.206.B · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information:

Facility to be missing the following policies and procedures: procedure for incremental hot weather (b.7), Identify and consult with early childhood mental health consultant (b.9), emergency and disaster preparedness (b.11), transporting children (b.12), governing field trips, television and video viewing including staff supervision of children (b.13), media and internet policy (b.14), children's safety related to riding in a vehicle (b.15), releasing children from the center only to persons for whom the center has written authorization (b.16), when a child is piked up from the center after the center is closed (b.17), children who arrive late at center (b.18), concerning children's belongings and money (b.19), diapering, toilet training (b.22), allowing visitors to center (b.23), filing a complaint about child care, including name, address and telephone number of CDEC (b.25), reporting of child abuse, including name of county department of human services and phone number (b.26). Correction: All written policies and procedures must be developed, implemented, and followed. Document compliance to licensing specialist with written response. Correct by 10/17/2024

Corrected Corrected by Oct 17, 2024

Category: supervision. Marked corrected in the state record.

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

In the toddler classroom their was a cozy loft with three steps to platform that was not age or developmentally appropriate for toddlers. Correction: All play equipment and materials must be age and developmentally appropriate for the age of the children. Correct immediately. Document compliance to licensing specialist with written response. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

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

2.215.A · The director or substitute director of a small center must either: meet large center director qualifications or meet at least one (1) of the following qualifications: Possess a current teaching license issued by the Colorado Department of Education with an endorsement in the area of elementary education, early childhood education, early childhood special education, early childhood special education specialist; or principal licensure;

The acting director did not have verification of being small center director qualified. Correction: The director or director of a small center must have verification of being small center qualified. Correct immediately. Document compliance to licensing specialist with written response. Correct by 09/17/2024

Corrected Corrected by Sep 17, 2024

Marked corrected in the state record.

7.701.100.F.2 · . 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.

Facility to be missing documentation of completed drills for the past year. 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 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. Correct immediately. Document future compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.E · For every thirty (30) or fewer children in attendance, there must be at least one (1) staff member on duty who holds a current Department-approved First Aid and Safety Certificate (including CPR for all ages of children) and is responsible for administering First Aid and CPR to children. Such individuals must be with the children at all times when the center is in operation. If children are at different locations, there must be a First Aid and CPR qualified staff member at each location.

No staff member present to have documentation of completed First aid and CPR Training. Correction: For every thirty or fewer children in attendance, there must be at least one staff member on duty who holds a curretn Department approved Fiest Aid and Safety Certificate, including CPR. Correct immidiately. Document compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: ratio. Marked corrected in the state record.

7.702.34.A.7 · 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.

Two child files reviewed. One child file to have expired documentation of a written authorization for emergency medical care. Correction: The admission record must include a written authorization for emergency medical care, signed and updated annually by the parents/guardians. Correct immediately. Send a statement of compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.702.41.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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Four staff files reviewed. Davee M., Leah M, Kaitlynne S., and Jackie N. to be missing a medical statement, signed and dated by a physician verifying that they are in good health. Correction: 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. Send health statements with a statement of compliance to the Licensing Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.702.41.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.

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing a signed statement indicating that they have read the center's policies and procedures. Correction: Prior to working with children, each staff member must read and be instructed about all policies and procedures of the center nad sign a statement indicating so. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

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

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing a signed statement indicating that they have been instructed about all licensing rules. Correction: Within 30 calendar days of employment, each staff member must read and be instruct about all licensing rule governing child care centers. Send a statement of compliance to the Licensing Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Fours staff files reviewed. Kaitlynne S. and Jackie N. to be missing documentation of completed Standard Precautions course. Correction: All staff must complete a Department approved Standard Precautions course and renew it annually. Correct immediately. Send a copy of completeed training certificate with a statement of compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.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.

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing documentation of completed Department approved Shaken Baby/Abusive Head trauma training. Correction: Staff working with children less than three years of age must complete a Department-approved Prevention of Shaken Baby/Abusive Head Trauma training prior to working with children less than three years of age. Correct immediately. Send a copy of completed training certificates with a statement of compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. 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 State Department-approved training

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing documentation of a completed Emergency and Disaster preparedness Training Course Correction: Prior to caring for children, all staff must complete a State Department approved training in emergency and

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

7.702.42.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.

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing documentation of completed Department approved training about child abuse prevention. Correction: Within thirty calendar days of employment, all employees and regular volunteers must be trained using a Department-approved training about child abuse prevention. Correct immediately. Send a copy of the training certificate with a statement of compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.H · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, 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.

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing documentation of completed Department approved training course Introduction to the Early Intervention and Preschool Special Education Programs. Correction: Within ninety calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System must complete the Department-approved training course: Introduction to the Early Intervention and Preschool Special Education Programs. Send a copy of completed training certificate to the Licensing Specialist with a statement of compliance with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.I · Within ninety (90) calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System (listed in Section 7.702.33, d) must complete the Department-approved Recognizing the Impact of Bias on Early Childhood Professionals training or other Department-approved training on implicit bias. This course is required once and will be counted towards ongoing professional development.

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing documentation of completed Department approved training course Recognizing the Impact of Bias. Correction: Within ninety calendar days of employment, all staff required to register with the Colorado Shines Professional Development Information System must complete the Department-approved training course: Recognizing the Impact of Bias. Send a copy of completed training certificates to the Licensing Specialist with a statement of compliance with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.42.L · All staff who work with children must complete a minimum of fifteen (15) clock hours of ongoing 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.

Four staff files reviewed. Kaitlynne S. and Jackie N. to be missing documentation of a completed 15 hours of ongoing professional development. Correction: All staff who work with children must complete a minimum of fifteen clock hours of ongoing professional development each year. At least three clock house must be in the focus of social-emotional development. Send a plan to ensure that staff will get their training hours in with a statement of compliance to the Licensing Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Marked corrected in the state record.

7.702.46.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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

No staff members present to have delegation. Correction: At least one staff member with current delegation must be on duty at all times. Correct immediately. Document compliance to the Licensing Specialist with the written response. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.C.3 · The monthly consultation must be conducted on-site at least quarterly or more frequently as required by the Child Care Health Consultant. Teleconsultations are allowed for the remaining months.

Identified through Director Statement that monthly consultations are not being held regularly. Correction: The monthly consultation must be conducted on site at least quarterly. Teleconsultations are allowed for the remaining months. Document future compliance to the Licensing Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

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

Identified through Director Statement that the date and content of each consultation is not being recorded. Correction: The date and content of each consultation must be recorded and maintained in the center's files. Document future compliance to the Licensing Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.A.2.d · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 recommended schedule for routine well child exams.

Two child files reviewed. One child between the age of two and seven years to have expired documentation of a health statement. Correction: Health statement for children between two and seven years of age must be updated in accordance with the American Academy of Pediatrics. Add health statement to file. Document compliance to the Licening Specialist with the written response. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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