2.138.A · 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.

Could not locate new drill log for 25-26 school year, so August and September drills could not be reviewed. January through July were documented. Correction: Obtain and maintain documentation of emergency drills conducted. Correct immediately. Correct by 10/07/2025

Corrected Corrected by Oct 7, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Wipes labeled "keep out of reach" was on a low shelf on the preschool playground. This is a direct violation of stipulation (N) on the probationary license. Probationary stipulation (N) states "Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age." Correction: All items labeled "keep out of reach" must be inaccessible to children at all times. Correct immediately. Corrected at the time of inspection, the Director removed the wipes and placed them on a high shelf in the bathroom. No response required. Correct by 09/10/2025

Corrected Corrected by Sep 10, 2025

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

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

2 bottles of hand sanitizer on the front counter and at the sign in book accessible to children, labeled "keep out of reach of children". This is a direct violation of stipulation (N) on the probationary license. Probationary stipulation (N) states "Hazardous items, including items labeled “keep out of reach of children,” must be inaccessible to children at all times, both indoors and outside. Choking hazards must be inaccessible to children under three (3) years of age." Correction: All items labeled "keep out of reach of children" must be inaccessible at all time. Correct immediately. Corrected at the time of inspection, Director removed the bottles. No response required. Correct by 08/14/2025

Corrected Corrected by Aug 14, 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.

A broken car on the toddler playground posing a potential hazard. Correction: Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards. Correct immediately, corrected at the time of inspection, the Director removed the car. No response required. Correct by 08/14/2025

Corrected Corrected by Aug 14, 2025

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.

The larger playground to have only 3-4 inches on the east facing slide. Correction: Resilient material must measure 6 inches for all climbing equipment over 18 inches. Correct immediately. Correct by 06/09/2025

Corrected Corrected by Jun 9, 2025

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

2.237.K · Kitchens, including all hazardous items, must be inaccessible to children at all times.

An unlocked kitchen door in the twos classroom. Correction: Kitchen must be inaccessible to children at all times. Correct immediately. Corrected at the time of inspection, the Director placed a child protective lock on the door handle. No response required. Correct by 06/09/2025

Corrected Corrected by Jun 9, 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

Licensing Specialist witnessed ch1 walk out of the school-age room into the pre-k room, for 45 seconds. The staff member didn't notice. Correction: All children must be directly supervised at all times. Corrected at the time of visit: Ch1 returned to the room. Submit a written statement of compliance to the Specialist. Correct by 03/24/2025

Corrected Corrected by Mar 24, 2025

Category: supervision. 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

Per staff members statements, Ch1 was outside the building for 5-10 minutes. Correction: All children must be under direct supervision at all times. Correct by 01/29/2025 Stage II Licensing Concern : A reportable incident occurred at 2:40, and the parent was not notified until 4:30 - FOUNDED

Corrected Corrected by Jan 29, 2025

Category: supervision. Marked corrected in the state record.

2.206.B.11 · The written policies and procedures must be developed, implemented, and followed, and must FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ include at a minimum the following information: The procedures for emergencies and disaster preparedness such as but not limited to lost children, tornadoes, fires, shelter in place, lockdown, active shooter on premises, reunification with families after emergency or disaster, and evacuating children with disabilities as specified in rule section 2.136, of the “General Rules for Child Care Facilities”;

A written policy and procedure about lost children is not in the family handbook. Correction: The policy handbook must have in writing a procedure regarding lost children. Submit a written statement of compliance with documentation to the Specialist. Correct by 01/29/2025 ________________________________________________ Stage II Licensing Concern : SM1 stated SM2 left the classroom leaving SM1 alone with 16 children. - UNFOUNDED ________________________________________________

Corrected Corrected by Jan 29, 2025

Category: physical safety. 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.

In the preschool classroom, observed broken crayons in the crayon bucket. In the sensory table there was mini foam pebbles, both items posed a potential hazard to children. Correction: All classroom materials must be free of all hazard. Corrected at the time of visit: Addy threw all the broken crayons away. No written response needed. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

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

2.205.D · Any center having a director assigned to a classroom must have qualified and adequate staff, allowing the director or qualified staff the ability to attend to the duties of a director as they arise.

Upon arriving at the facility, the assistant director was part of ratio, unable to perform director duties. The director was not on site. Correction: The facility must have adequate staff for the Director and Assistant Director to tend to director duties.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.233.A.3 · Rooms licensed for specific ages of children cannot be used for other ages of children without the prior written approval of the licensing authority.

A 2.4 year old child is being placed in the preschool room for nap that is licensed for 2.6 and older. Correction: Rooms licensed for specific ages must not be used for other ages without prior written approval form the licensing authority. Submit a written statement of compliance to the Specialist. Correct by 01/29/2025

Corrected Corrected by Jan 29, 2025

Marked corrected in the state record.

2.138.A · 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.

Reviewed the facility file, identified the Tornado drill was not logged for April 2024. Correction: Tornado drills must be conducted and logged for the months of March-October. Submit a written statement of compliance to the Specialist. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: recordkeeping. Marked corrected in the state record.

2.209.A.1 · 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:The child's full name, birth date, current address, and date of enrollment;

Reviewed 12 children files, identified three (3) children missing enrollment dates in their file. Correction: Enrollment dates must be in each child's file.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 12 staff files, identified Kelsey M. to be missing the TRAILS 5 year 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 TRAILS Clearance Letters for staff members with written response to the Specialist. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: background checks. 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 12 staff files, identified Susan and Kelsey to be missing the FBI 5 year clearance letters. 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 FBI Clearance Letters) for staff members with written response to the Specialist. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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

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

In the preschool room, observed an unlocked cabinet in the bathroom with disinfectant bottles with a manufacture label of 'keep out of reach'. Correction: All items with a manufacture label of 'keep out of reach' must be inaccessible to all children. Corrected at the time of visit: Jen locked the cabinet.

Open Not marked corrected in the state record

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 12 staff files, identified Nicole to be missing a CBI 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 Clearance Letter for staff members with written response to the Specialist. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: supervision. Marked corrected in the state record.

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 12 children files, identified three (3) files with expired emergency medical authorization. Correction: Obtain current medical authorization for all children. Submit a written statement of compliance to the Specialist. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

Category: health medication. 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 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 12 children files, identified five (5) children with no immunizations in their file and one (1) with immunizations not on a Department approved form. Correction: Obtain current immunizations on the Department approved form. Submit a written statement of compliance to the Specialist. Correct by 08/01/2024

Corrected Corrected by Aug 1, 2024

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 12 children files, identified four (4) children with expired health evaluations. Correction: Obtain current health evaluations for all children. Submit a written statement of compliance to the Specialist. Correct by 09/01/2024

Corrected Corrected by Sep 1, 2024

Category: ratio. Marked corrected in the state record.

2.219.B.3 · Statements of health status of children less than two (2) years of age must be updated as required in writing by the health care provider, or in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule at https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf, (4th ed. American Academy of Pediatrics; (2017) herein incorporated by reference. No later editions or amendments are incorporated. These recommendations are available at no cost from https://www.aap.org/. These recommendations are FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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.

Reviewed 12 children files, identified two (2) children missing current health evaluations. Correction: Obtain current health evaluations for children Submit a written statement of compliance to the Specialist. Correct by 09/01/2024

Corrected Corrected by Sep 1, 2024

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

2.219.B.5 · For children seven (7) years of age and older or who have completed the first (1st) grade, subsequent statements of health status must be obtained every three (3) years.

Reviewed 12 children files, identified one (1) child missing their current health evaluation. Correction: Obtain current health evaluation for child. Submit a written statement of compliance to the Specialist Correct by 09/01/2024

Corrected Corrected by Sep 1, 2024

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

7.702.61.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 preschool bathroom diapers and wipes were on the floor. Correction: All diaper supplies must be inaccessible to children. Corrected at the time of visit: Brooke removed all diaper supplies and put in cabinet that is inaccessible to children. No response is required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

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

In toddler room a bottle of lotion and a bottle of vitamins both with a manufacture label of 'keep out of reach of children'. Correction: Immediately, all items labeled keep out of reach of children must be inaccessible to children. Corrected at the time of visit: Brooke locked cabinet items were in. No response is required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

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

In the preschool bathroom observed a roll of black trash bags on a shelf within reach of children. Correction: Immediately, all plastic bags must be inaccessible to children. Corrected at the time of visit: Brooke removed bags to a locked cabinet. No response is required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Marked corrected in the state record.

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

Yellow tricycle outside missing plastic handles . Blue chair in after school room had large crack in seat of chair. Both could be a potential hazard. Correction: Immediately 9/19/23, all equipment must be free of hazards. Director removed the trike and the blue chair. No response is required. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.702.62.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.

In the pre kinder room, staff reported to the specialist 17 children in attendance. When reviewing attendance log, identified 16 children in attendance. Correction: Immediately 9/19/23, all staff members must verify attendance throughout the day. Submit a statement of compliance by 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.66.A.2 · The center must obtain written permission from the parent(s)/guardian(s) for any transportation of their child(ren) while in care.

Reviewed 9 children files, identified 4 files missing transportation authorization. Correction: Immediately 9/19/23, review all children files. All files must have written authorization for transportation. Submit a statement of compliance 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: transportation. 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.

Reviewed 9 children files, identified 2 files missing authorization and 4 files with expired acknowledgment. Correction: Immediately 9/19/23, review all children files. All files must have a current date and signature acknowledging emergency medical authorization. This must be updated annually. Submit a statement of compliance by 10/19/2023 Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.702.51.B.11 · Topical preparations such as petroleum jelly, diaper rash ointments, sunscreen, insect repellent, and other ointments may be administered to children with written authorization from the parent(s)/guardian(s). These preparations may not be applied to open wounds or broken skin unless there is a written order by the prescribing health care provider.

Reviewed 9 children files, identified 4 files missing sunscreen authorization. Correction: Immediately 9/19/23, review all children files. All files must obtain and maintain current authorization for topical preparations. Submit a statement of compliance by 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: ratio. Marked corrected in the state record.

7.702.31.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 9 children files, identified 6 children files without parent signatures. Correction: Immediately 9/19/23, review all children files. All files must be signed and dated by the parent. Submit a statement of compliance by 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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 9 children files, identified 5 files missing health statements and 2 files with expired health statements. Correction: Review all children files. All files must have a current health status signed by the physician. Submit a statement of compliance by 10/19/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

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

7.702.41.A · All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of children.

While completing the safety walk through, staff members in one toddler room and the infant room did not know if children had any medication. Correction: Immediately 9/19/23, all staff members must have the knowledge of children on medication in their rooms. Submit a statement of compliance by 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

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

7.702.42.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 13 staff files, identifed Ashley D. missing the building premises training. Correction: Immediately 9/19/23, prior to working in a classroom, all staff must obtain and maintain in their file the pre-service building and physical premises training. Submit a statement of compliance by 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: recordkeeping. 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.

Reviewed 13 staff files, identified Ashley D., missing standard precaution training. Correction: Immediately- 9/19/23, prior to working with children all staff must obtain and maintain a current standard precaution training. This training must be renewed annually. Submit a statement of compliance with documentation by 10/19/2023. Correct by 09/19/2023

Corrected Corrected by Sep 19, 2023

Category: ratio. Marked corrected in the state record.

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.

Reviewed 13 staff files, identified Ashley D. missing a current abuse prevention training and to be employed longer than 30 days. Correction: Review all staff files. All staff members must obtain and maintain a current Department approved training on abuse prevention. Submit a statement of compliance with documentation by 10/19/2023. Correct by 10/19/2023

Corrected Corrected by Oct 19, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.34.A.8 · 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 9 children files, identified 4 files missing signature and date for field trip authorization. Correction: Immediately 9/19/23, review all children files. All files must have the parent signature and date for field trip authorization.

Open Not marked corrected in the state record

Category: transportation. Open / not marked corrected.