2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

At the time of the visit, observed in the Toddler 2 classroom, 10 children in attendance but only 4 children signed in to the attendance tracker. Also, in the Infant 1 classroom, 10 infants were in attendance, but only 8 children were signed in to the attendance tracker. Correction: Immediately ( 4/29/2025), Staff members must complete written attendance verification periodically throughout the day. **Corrected at the time of the visit when the teachers corrected the attendance trackers. Submit a written statement of future compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 2025

Category: recordkeeping. Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

At the time of the visit, observed an uncovered outlet in the Pre-K classroom, under a table, accessible to children. Correction: Immediately ( 4/29/2025), In rooms used by children, all electrical outlets must have protective covers. **Corrected at the time of the visit when the director inserted an outlet cover, making the outlet inaccessible to children. Submit a written statement of future compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 2025

Marked corrected in the state record.

2.229.K.2 · Evacuation equipment must: Be labeled for easy identification;

At the time of the visit, observed in Infant 1 and Infant 2, evacuation cribs that were not labeled. Correction: Immediately ( 4/29/2025), Evacuation equipment must be labeled. Submit documentation and a written statement of compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 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.

At the time of the visit, in the Infant 2 classroom, a large black and lime green stroller was blocking the fire exit door. Correction: Immediately ( 4/29/2025) Fire exits must be free and unobstructed at all times. **Corrected at the time of the visit when the director removed the stroller from the room, unblocking the fire exit. Submit a written statement of future compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 2025

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

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

At the time of the visit, observed loose plastic bags in an unlocked cabinet under the sink in the Infant 2 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ classroom, to be accessible to children. Correction: Immediately (4/29/2025), Loose plastic bags must be inaccessible to children. **Corrected at the time of the visit when the director placed a child safety lock on the door, making the plastic bags inaccessible to children. Submit a future statement of compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 2025

Marked corrected in the state record.

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

At the time of the visit, observed in the Infant 1 classroom, in an unlocked cabinet under the changing table, 1 tube of diaper rash cream, labeled keep out of reach of children, to be accessible to children. Also, in the Infant 2 classroom, in an unlocked cabinet under the changing table, 6 tubes of diaper rash cream, labeled keep out reach of children to be accessible to children. Correction: Immediately (4/29/2025), Items labeled keep out of reach, must be inaccessible to children at all times. *Corrected at the time of the visit when the director placed child locks on the doors in each room, making the diaper rash cream inaccessible to children. Submit a written statement of future compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 2025

Marked corrected in the state record.

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.

At the time of the visit, observed in the Infant 2 classroom, in an unlocked cabinet under the sink, Bingo dauber lids to be accessible to children under the age of 3. Correction: Immediately ( 4/29/2025), Materials posing a choking hazard must be inaccessible to children. **Corrected at the time of the visit when the director place a safety lock on the cabinet, making the dauber lids inaccessible to the children.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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 the visit, observed the preschool playground to be lacking 6 inches of resilient surfacing. Correction: Immediately ( 4/29/2025), Resilient surfacing must be raked regularly to retain its resiliency. **Corrected at the time of the visit when the teacher raked the surfacing to the fall zones. Submit a written statement of future compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 2025

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

2.237.B · Buildings must be kept in good repair and maintained in a safe condition.

At the time of the visit, observed on the preschool playground, tires coming off of the large fire truck structure which exposed protruding screws. Correction: Immediately ( 4/29/2025) Buildings must be kept in good repair. Submit documentation and a written statement of compliance by 5/6/2025. Correct by 04/29/2025

Corrected Corrected by Apr 29, 2025

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

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

In the Infant 2 classroom, a rug in the middle of the floor had torn fabric along the edges, causing a potential hazard. Correction: Immediately, indoor furnishings must be safe and free of hazards. Corrected at the time of visit, the director covered the rug, making it inaccessible to children. Submit a written statement of future compliance by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

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

2.230.C.1.a · All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches in the use zone surrounding the equipment.

On the Pre-K playground, equipment higher than 18 inches did not have resilient surface of 6 inches. Correction: All climbing equipment eighteen (18) inches or higher must have resilient surfacing of at least six (6) inches. Submit a written statement of compliance by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 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 7 staff files. Observed Araceli G., hired 2021, and Ada G., hired 2018, missing current documentation of a First Aid and CPR training. Correction: Review all staff files. All employees must have a First Aid and CPR training that must be renewed every two (2) years. Submit documentation and a written statement of compliance by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

2.221.C · When supplied for an individual child, the sunscreen must be labeled with the child's first and last name.

In the Pre-K classroom, sunscreen was not labeled with children's first and last name. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Sunscreen must be labeled with the child's first and last name. Submit a written statement of compliance by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Marked corrected in the state record.

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

In the Toddler 2 classroom, diapers, wipes, and diaper cream were in an unlocked cabinet under the diaper changing table. Correction: Immediately, diaper supplies must have an area inaccessible to children, for storing. Submit a written statement of compliance by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Marked corrected in the state record.

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

On the Infant playground, a loose plastic bag was in a tube, accessible to children. Correction: Immediately, loose plastic bags must be stored in areas inaccessible to children. Corrected at the time of visit, the director removed the plastic bag and placed it in a trash can, inaccessible to children. Submit a written statement of future compliance by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: physical safety. 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 7 staff files. Observed Karina W., working in the Toddler 1 classroom, missing current documentation of a prevention of shaken baby/abusive head trauma training. Correction: Immediately, review all staff files. 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 and must renew it every two (2) years. Submit documentation and a written statement of compliance by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

Category: recordkeeping. Marked corrected in the state record.

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 7 staff files. Observed Ada G. with FBI and CBI fingerprints older than 5 years. Ada was not working alone with children at the time of visit. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Ada G. has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letters for staff member Ada G. with written response to Specialist by 6/30/2024. Correct by 05/31/2024

Corrected Corrected by May 31, 2024

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

7.702.34.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 10 children files, identified one child with a start date of 1/28/2022, with an expired health statement. Correction: Immediately, review all children files. The facility must obtain and maintain in each child's file, a current health statement for each child. This must be updated annually or as physician states. Submit a statement of compliance by 9/17/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ hospital, clinic, or emergency health care facility.

Reviewed 10 children files, identified one child with a start date of 7/29/2021, with the date missing for the emergency medical authorization form. Correction: Immediately, review all children files. Emergency Medical Authorization forms must have a signature and date, this must be updated annually. Submit a statement of compliance with documentation by 9/17/2023. Correct by 08/18/2023

Corrected Corrected by Aug 18, 2023

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