2.216.B.1.c · Prior to being assigned a group of children, the infant program early childhood teacher must complete eight (8) hours of orientation in the infant program under the supervision of the infant program supervisor. The orientation may include, but not limited to, the following topics:

Reviewed 7 staff files and observed that a staff member working in the infant classroom was missing documentation of a completed infant orientation. Correction: Immediately, staff working in the infant room must complete 8 hours of orientation in the infant program under the supervision of the IPS. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: supervision. Marked corrected in the state record.

2.120.J · The results of the abuse and neglect inquiry must be maintained at the center, facility, or agency and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ must be available for review upon request by a Licensing Specialist.

Reviewed 7 staff files and observed that 1 staff member was missing documentation of their completed abuse and neglect inquiry results. Correction: Immediately, all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS for staff member with written response to the Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Marked corrected in the state record.

2.121.J.1 · The following background check requests must be submitted and successfully completed for each state an individual has resided in, in the past five years, 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 identified that 1 staff member has lived out of state within the last 5 years and observed that the out of state background check has not been completed. Correction: Immediately, all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member has reviewed the powerpoint within 24 hours. Submit documentation of Out of State background check for staff member with written response to the Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: supervision. 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 7 staff files and observed that 2 staff members were missing documentation of a current health statement. Correction: Within 30 days, all staff must submit to the center a medical statement signed and dated by a physician or

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.217.A.3 · The director of the center must be present at the center at least sixty percent (60%) of any day that the center is open.

Identified that there was no Director employed and there was no Director qualified staff member on site during 60% of the day the center is open at the time of the inspection. Correction: Immediately, the director of the center must be present at the center at least 60% of any day the center is open. Submit a statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

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 and observed that 1 staff member was missing documentation of a current Shaken Baby/Abusive Head Trauma training. Correction: Immediately, staff working with children less than 3 years old must complete the department-approved shaken baby/abusive head trauma training prior to working with children and must be renewed every 2 years. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: recordkeeping. Marked corrected in the state record.

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

Reviewed 7 staff files and observed that 4 staff members were missing documentation of a current abuse prevention training. Correction: Immediately, all employees and regular volunteers must be trained using the department-approved training about abuse prevention within 30 days of employment and must be renewed annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: recordkeeping. Marked corrected in the state record.

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 7 staff files and observed that 1 staff member was missing documentation of an emergency and disaster preparedness training. Correction: Immediately, all staff must complete a department-approved training in emergency and disaster preparedness prior to working with children. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: recordkeeping. 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 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 3 children's files and observed that 1 child was missing documentation of immunization status. Correction: Immediately, prior to the first day of admission parents/guardians must submit documentation of an immunization status. Submit a written statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

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 3 children's files and observed that 1 child was missing documentation of a current health statement. Correction: Within 30 days, health statements must be submitted and updated in accordance with AAP recommendations. Submit a written statement of compliance to the Licensing Specialist. Correct by 10/29/2025

Corrected Corrected by Oct 29, 2025

Category: ratio. 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 3 children's files and observed that 1 child was missing documentation of an emergency medical authorization. Correction: Immediately, the admission record must include an emergency medical authorization and must be updated annually. Submit a written statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: health medication. 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 3 children's files and observed that 1 child was missing documentation of an admission record. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, admission records must be completed for each child prior to the time of admission and must be updated annually and when changes occur. Submit a written statement of compliance to the Licensing Specialist. Correct by 09/29/2025

Corrected Corrected by Sep 29, 2025

Category: recordkeeping. Marked corrected in the state record.