2.133.A · Prior to caring for children, all staff must complete a Department-approved training in emergency and disaster preparedness: Evacuation, Shelter in Place, Lockdown, and Active Shooter on Premises Plans for Children in Care. For seasonal children’s resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the Department approved training.

reviewed 6 staff files and observed staff 3 and staff 5 to have no documentation of emergency disaster preparedness training. Staff 3 DOH 5.8.25 and Staff 5 DOH is 8.15.25. Correction: Obtain current emergency disaster preparedness training for staff and add to staff file. Correct immediately and send written verification to specialist with response. Correct by 09/11/2025

Corrected Corrected by Sep 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.A · Prior to working with children all staff members must complete a Department-approved standard precautions training. This training must be renewed annually and may count towards ongoing training requirements.

reviewed 6 staff files and observed staff 3 and staff 5 to have no documentation of standard precautions training and both to be working directly with children. Staff 3 DOH 5.8.25 and staff 5 DOH 8.15.25. Observed staff 4 to have expired standard precautions training as of 9.10.25. Correction: Obtain current standard precautions training for staff and add to staff file. Correct immediately and send written

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.507.I · Prior to working with children, the staff member must read and be instructed on all of the policies and procedures of the center outlined in rule section 2.505. Staff members must sign a statement indicating that they have read and understand the center's policies and procedures.

reviewed 6 staff files and observed staff 2 and staff 3 to have no documentation of signing policies and procedures. Staff 2 DOH is 5.13.25 and Staff 3 DOH is 5/8/25. Correction: Obtain current signature from staff about getting policies and procedures. Correct immediately and add to staff files and send written verification to specialist with response. Correct by 09/11/2025

Corrected Corrected by Sep 11, 2025

Marked corrected in the state record.

2.507.J · 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 observed staff 2 and staff 3 to have no documentation of being trainined on medical admin policies and procedures. Staff 2 DOH is 5.13.25 and Staff 3 DOH is 5/8/25. Correction: Obtain current medical admin policies and procedures documentation for staff and add to staff files. Correct immediately and send written response to specialist. Correct by 09/11/2025

Corrected Corrected by Sep 11, 2025

Category: ratio. Marked corrected in the state record.

2.507.K · Within thirty (30) calendar days of caring for children a signed statement indicating that the individual has been trained, understands, and has had the opportunity to ask questions regarding the “Rules Regulating School-Age Child Care,” the “General Rules for Child Care Facilities,” and the “Rules Regulating Special Activities,” if applicable.

reviewed 6 staff files and observed staff 2 and staff 3 to have no documenations statement that they had training on rules and regulations. Staff 2 DOH is 5.13.25 and Staff 3 DOH is 5/8/25. Correction: Obtain staff signature page about rules and regs and add to staff files and send written verification to specialist with response. Correct by 10/10/2025

Corrected Corrected by Oct 10, 2025

Category: recordkeeping. 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 observed Staff 2 and staff 3 to have no documenation of signed perjury statement. Staff 2 DOH is 5.13.25 and Staff 3 DOH is 5/8/25. Correction: Obtain signed prejury statement and add to staff files and send written verification to specialist with response. Correct by 10/10/2025

Corrected Corrected by Oct 10, 2025

Marked corrected in the state record.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

reviewed 6 staff files and observed staff 3 to have no documentation of child abuse training. Staff 3 DOH 5.8.25. Observed staff 4 to have expired child abuse prevention training as of 9.6.25. Correction: Obtain current child abuse prevention and reporting training and add to staff files. Correct immediately and send written verification to specialist with response. Correct by 09/11/2025

Corrected Corrected by Sep 11, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.F.1 · 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 a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

reviewed 6 staff files and observed staff 3 to have no documentation of 1st aid/CPR training. Staff 3 DOH 5.8.25. Correction: Obtain current first aid CPR training for staff and add to staff file and send written verification to specialist with

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.508.G · Within ninety (90) calendar days of employment all staff must complete the Department-approved course in injury prevention for school-age children. This training is required once (1 time) and will count toward ongoing training requirements.

reviewed 6 staff files and observed staff 3 to have no documentation of injury prevention training. Staff 3DOH 5.8.25. Correction: Obtain current injury prevention training for staff and add to staff file and send written verification to specialist with response. Correct by 10/10/2025

Corrected Corrected by Oct 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.508.H · Within ninety (90) calendar days of employment all staff must complete the Department-approved course in playground safety for School-Aged Child Care Centers. This training is required once (1 time) and will count toward ongoing training requirements.

reviewed 6 staff files and observed staff 3 to have no documentation of playground school age safety training. Staff 3 DOH 5.8.25. Correction: Obtain current documentation of playground school age safety training for staff and add to staff file and send written verification to specialist with response. Correct by 10/10/2025

Corrected Corrected by Oct 10, 2025

Category: recordkeeping. Marked corrected in the state record.

2.122.A · Prior to the original license being issued, following the renovation of the facility that would affect the licensing of the facility and at least every two (2) years thereafter, all child care facilities except family child care homes and Neighborhood Youth Organizations must be inspected and obtain an approving inspection report from the local department of health or the Colorado Department of Public Health and Environment and from the local fire department. These reports must be maintained at the facility and be available for review upon request by a Licensing Specialist.

reviewed facility file and observed fire inspection to not be approved and dated as of 5/2025. Correction: Obtain current approved fire inspection for program and add to facility file. Correct immediately and send

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

reviewed 7 staff files and observed Savanna DOH 8.20.24 and Hailey DOH 8.209.24to have no documentation of TRAILS child abuse 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 have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI, TRAILS, Or Out of State background check, Out of State Clearance Letters) for staff member

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 7 staff files and observed no CBI and FBI clearance letter for Savanna DOH 8.20.24 and Hailey DOH 8.29.24 Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members have reviewed the powerpoint within 24 hours. Submit documentation of (CBI, FBI, TRAILS, Or Out of State background check, Out of State Clearance Letters) for staff members with written response to Specialist. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: supervision. Marked corrected in the state record.

2.508.D · Within (30) calendar days of employment all staff members and regular volunteers must complete 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 know child abuse or neglect. This training must be renewed annually and may count towards ongoing training requirements.

reviewed 7 staff files and observed Evan to have no documentation of Child abuse training. Correction: Obtain current child abuse training for staff and add to staff file. Correct immediately and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.508.E · Within ninety (90) calendar days of employment all staff must have at least one (1) hour of child development training . This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once (1 time) and will count toward ongoing training requirements if taken after the date of hire. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

reviewed 7 staff files and observed Evan to have documentation of child development training. Correction: Obtain current child development training and add to staff file and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

2.133.B · Each staff member of the facility must be trained in fire safety and the use of available fire extinguishers and fire alarms

reviewed 7 staff files and observed Shannal, Hannah, Brittany, Evan, Aiden, Savanna and Hailey to have no documentation of fire safety and fire extiguisher training. Correction: Obtain documentation of fire safety and fire extiguisher training for all staff and add to files and send written verification to specialist with response. Correct by 09/16/2024

Corrected Corrected by Sep 16, 2024

Category: recordkeeping. Marked corrected in the state record.

7.712.42.G.3 · All employees caring for children, not required by rule to be certified in First Aid and CPR, must complete a Department-approved basic First Aid and CPR module within thirty (30) calendar days of employment and the module must be renewed every two (2) years.

reviewed 4 staff files and observed Evan to be missing current 1st aid/ CPR module training. observed Evan DOH as of 9/26/2023. Correction: Obtain current 1st aid / CPR module training and add certificate to staff file. Correct immediately and send written verification of training to specialist with response. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: recordkeeping. Marked corrected in the state record.

7.712.41.J · All staff members must complete a Department-approved standard precautions training prior to working with children. This training must be renewed annually and may count towards ongoing training requirements.

reviewed 4 staff files and observed Evan to be missing current Standard Precautions training. Observed Shannal to have expired Standard precautions training as of 9/21/22. Observed Evan DOH as of 9/26/2023. Correction: Obtain current Standard precautions training and add certificate to staff file. Correct immediately and send written verification of training to specialist with response. Correct by 10/10/2023

Corrected Corrected by Oct 10, 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

reviewed 4 staff files and observed Evan to have no documentation of emergency disaster training. Observed Evans DOH 9/26/23. Correction: Obtain emergency disaster training and add certificate to staff file. Correct immediately and send written verification of training to specialist with response. Correct by 10/10/2023

Corrected Corrected by Oct 10, 2023

Category: recordkeeping. Marked corrected in the state record.