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.

No documentation of current fire inspection. Health inspection dated 9/10/2025 pending approval. Correction: Obtain approving fire and health inspections. Submit documentation of approving fire and health inspections. Correct by 03/19/2026

Corrected Corrected by Mar 19, 2026

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

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 2 staff files, observed the director to be missing the required CDPHE immunization training. Correction: Obtain the required immunizations training. Submit documentation of compliance to specialist. Correct by 04/19/2026

Corrected Corrected by Apr 19, 2026

Category: health medication. 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 two staff files, observed SM1 to be missing current Standard Precautions training. Expired as of FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 11/20/2025. Correction: Obtain current standard precautions training. Submit documentation of compliance to specialist. Correct by 03/19/2026

Corrected Corrected by Mar 19, 2026

Category: recordkeeping. 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 2 staff files, observed SM1 to be missing documentation of First Aid/CPR training module and/or full training. Correction: Obtain department approved CPR/First aid training. Submit documentation of compliance to specialist. Correct by 03/19/2026

Corrected Corrected by Mar 19, 2026

Category: recordkeeping. 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.

SM2 to be missing documentation of completed TRAILS background check 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 2 has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letter for staff member 2 with written response to the Specialist. Correct by 03/19/2026

Corrected Corrected by Mar 19, 2026

Category: supervision. Marked corrected in the state record.

2.121.D.4 · Requests for a criminal record check, other than those required per this rule section 2.121(D)(4) must be completed at an approved vendor within five (5) working days of the day that the individual begins to work at the facility or agency.

SM2 to be missing documentation of completed CBI background check 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 2 has reviewed the powerpoint within 24 hours. Submit documentation of CBI background check for staff member 2 with written response to the Specialist. Correct by 03/19/2026

Corrected Corrected by Mar 19, 2026

Category: background checks. 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 2 staff files, observed SM1 and SM2 to be missing documentation of current signed medical statement. Correction: Obtain documentation of current medical statement, retain in staff file. Submit documentation of compliance to specialist. Correct by 03/19/2026

Corrected Corrected by Mar 19, 2026

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