2.223.C.2 · In the infant room, soft bedding or materials that could pose a suffocation hazard are not permitted in cribs, futons approved for infants, or other approved sleep/rest equipment. Soft bedding means, but is not limited to, any soft sleep surface like bumper pads, pillows, blankets, quilts, comforters, sleep positioning devices, sheepskins, blankets, flat sheets, cloth diaper bibs, plush toys, pacifiers with stuffed animals attached, and stuffed animals.

An infant in the infant classroom, over 12 months of age, to be asleep in the crib with a blanket, posing a potential safety hazard. Correction: No soft bedding for children under the age of 18 months in the infant room. Corrected at the time of the inspection. The Director removed the blanket from the crib and sleeping infant. No response required. Correct by 03/27/2025

Corrected Corrected by Mar 27, 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.

Cotton balls in the toddler classroom on artwork hung up on the wall. Observed the cotton balls to be choking hazards and accessible to children under the age of three. Correction: 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. Corrected at the time of the inspection. The teacher removed the artwork. No response is required. Correct by 01/07/2025

Corrected Corrected by Jan 7, 2025

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

2.206.B · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information:

The facility to have a policy that states that "use of inappropriate language while on school property" will lead to dis-enrollment, and "appropriate language must be used while on school property. Identified through staff statements that a family has consistently used inappropriate language in the classroom in front of children and in the classroom. Correction: The written policies must be implemented and followed. Correct and submit a written statement of compliance to the Specialist by 11.29.2024. Correct by 11/29/2024

Corrected Corrected by Nov 29, 2024

Marked corrected in the state record.

2.217.A.14 · Staff to Child Ratios by ages of children and number of staff- 6 weeks to 18 months (infants):1 staff member to 5 infants; 12 months to 36 months: 1 staff member to 5 toddlers; 24 months to 36 months: 1 staff member to 7 toddlers; 2-1/2 years to 3 years:1 staff member to 8 children; 3 years to 4 years: 1 staff member to 10 children; 4 years to 5 years: 1 staff member to 12 children; 5 years and older: 1 staff member to 15 children; Mixed-age group 2-1/2 yrs to 6 yrs: FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 1 staff member to 10 children.

The pre-k classroom to be over ratio on 11.14.2024, and 11.15.2024 posing a potential safety hazard. Observed there to be 11 children in a mixed age group at 8.15 am, and 18 children by 9:01 am and one staff member. Observed there to be 11 children and one staff member in a mixed age group at 8:26 am and 14 children by 8:38 am. Correction: The staff to child ratio must be followed at all times. Correct immediately by 11.15.2024, and submit a written statement of compliance to the Specialist by 11.29.2024. Previously cited on 8.19.2024 and 9.26.2023. Correct by 11/15/2024

Corrected Corrected by Nov 15, 2024

Category: ratio. Marked corrected in the state record.

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

A sensory table under the evacuation crib in the infant 2 classroom posing a potential safety hazard. Correction: Nothing must be stored under the evacuation cribs. Corrected at the time of the inspection. The assistant director removed the sensory table from under the crib. No response required. Correct by 11/15/2024

Corrected Corrected by Nov 15, 2024

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.

Plastic spiders hanging in webs in the hallway leading to the preschool and early preschool classroom and accessible to children under the age of three, and posing a potential safety hazard. Correction: 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. Corrected at the time of the inspection. A director removed the spiders. No response required. Correct by 11/15/2024

Corrected Corrected by Nov 15, 2024

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

2.120.C.1.a.1 · 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: Individuals who have obtained a successfully completed CBI or FBI record check may care for children, for no longer than ninety (90) calendar days, while waiting for all other required background checks to be completed. The individual must be supervised at all times by an individual who has successfully completed all required background checks.

Identified that two staff members Jamie B. (DOH 10.1.2024) and Deb M. (11.8.2023) to both be missing required background checks. Observed Jamie to be missing Trails and Deb to be missing the out of state background check required from the respective state they lived in within the past five years. Identified that both teachers were working alone with children on 10.11.2024, Correction: All of the required background checks must be completed prior to staff members unsupervised access to children. Correct immediately and submit a written statement of compliance to the Specialist by 10.31.2024. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: supervision. 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:

Deb to be missing the out of state background check required from the respective state they lived in within FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the past five years. Identified that Deb were working alone with children on 10.11.2024, Correction: All of the required background checks must be completed prior to staff members unsupervised access to children. Correct immediately and submit a written statement of compliance to the Specialist by 10.31.2024. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

Identified through the Director's statement that a toddler was alone and unsupervised on the playground on 10.11.2024 for approximately 11 minutes posing a potential safety hazard. Correction: Children must be directly supervised at all times. Correct immediately by 10.24.2024, and submit a written statement of compliance to the Specialist by 10.31.2024. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

Category: supervision. Marked corrected in the state record.

2.230.A · A variety of play equipment and materials appropriate for children's age, size, developmental needs, and activities must be provided for both indoor and outdoor structured and free play.

Several balls on the early preschool and toddler playgrounds labeled for children aged 3 an over. Observed the balls accessible to children under the age of three and posing a potential safety hazard. Correction: Materials must be appropriate for the age, size, and development needs of the children who have access to them. Corrected at the time of the inspection. The balls were moved to the preschool playground. No response required. Previously cited on 9.27.2024. Correct by 10/24/2024

Corrected Corrected by Oct 24, 2024

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

2.126.B · Pursuant to section 19-3-304, C.R.S., any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system as set forth in section 26-5-111, C.R.S.

Identified through Sprout About application messages that it was reported that staff member 1 put their hands on the child and the child was seen on camera rubbing their shoulders as if in pain after the incident. Observed the assistant director and staff member 1 respond to the message. No staff members called the County Department to report the allegation of abuse once they had a reasonable cause to know the incident occurred. Correction: any caregiver or staff member in a child care facility who has reasonable cause to know or suspect that a child has been subjected to abuse or neglect or who has observed the child being subjected to circumstances or conditions that would reasonably result in abuse or neglect shall immediately upon receiving such information report or cause a report to be made of such fact to the county department of human or social services, the local law enforcement agency, or through the child abuse hotline reporting system. Correct immediately by 5.29.2024, and submit a written statement of compliance to the Specialist by 6.1.2024. Correct by 05/29/2024

Corrected Corrected by May 29, 2024

Marked corrected in the state record.

2.229.K · Evacuation equipment must not block exit routes. Nothing may be stored in or under any evacuation equipment.

The evacuation crib in the Infant 2 classroom to have a basket of baby food stored under it posing a potential safety hazard. Correction: Nothing may be stored in or under any evacuation equipment. Corrected at the time of the inspection. The basket was removed from under the evacuation crib. No response required. Correct by 05/29/2024

Corrected Corrected by May 29, 2024

Category: nutrition. 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.

A cot in the toddler one classroom placed in front of the outdoor egress route posing a potential safety hazard. Correction: Exits must be arranged and maintained so as to provide free and unobstructed egress. Corrected at the time

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.225.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

Identified through staff member 2's statement that they observe teachers raising their voices louder than they should when engaging with children. Correction: Children must not be subjected to emotional harm, humiliation or threats. Correct immediately by 5.20.2024, and submit a written statement of compliance to the Specialist by 5.27.2024. Previously cited on 11.27.2023. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

Marked corrected in the state record.

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

Staff member 1 one verbalize that a child needed a diaper change at lunch time, observed approximately 10-15 minutes pass prior to staff member 1 changing the child's soiled diaper posing a potential safety hazard. Correction: All staff at the center must demonstrate knowledgeable decision-making, judgment, and concern for the proper care and well-being of child Correct immediately by 5.20.2024, and submit a written statement of compliance to the Specialist by 5.27.2024. Correct by 05/20/2024 ________________________________________________ ________________________________________________

Corrected Corrected by May 20, 2024

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

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

Three cots in the Preschool classroom to be spaced less than one foot away from each other, posing a potential safety hazard. Correction: Cots must be placed at least two feet apart from each other. Corrected at the time of the inspection the teachers spaced the cots out. No response required. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

Category: supervision. Marked corrected in the state record.

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

A bottle of sunscreen in the preschool classroom labeled "keep out of reach of children, accessible to children and posing a potential safety hazard. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of the inspection, the Director locked the sunscreen in a cabinet. No response required. Previously cited on 2.28.2024. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

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

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

Loose plastic bags on the twos bathroom, located in a drawer and accessible to children, posing a potential FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ safety hazard. Correction: Loose plastic bags must be stored inaccessible to children. Corrected at the time of the inspection, the Director removed the bags from within reach of children. No response required. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

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.

Several items in the toddler twos classroom posing a potential safety hazard. Observed googly eyes, pom poms, and a magnetic letter. Correction: Toys, toy parts, furnishings, equipment, and any materials accessible to children under the age of three must not pose a choking hazard. Corrected at the time of the inspection, the Director removed all of the chokables from the twos classroom. No response required. Previously cited on 11.27.2023. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

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.

An electrical plug/cord to be plugged into the wall in the Twos classroom, not attached to any electronic device, observed the end portion to be accessible to children and posing a potential safety hazard. Correction: Equipment, materials and furnishings must be sturdy safe and free from hazards. Corrected at the tie of the inspection. The Teacher plugged the device in. No response required. Correct by 05/20/2024

Corrected Corrected by May 20, 2024

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.

Lotion in the pre-k classroom on a shelf, inside a scale, labeled "keep out of reach of children" and accessible to children, posing a potential safety hazard. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of the inspection. No response is required. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

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 nine teacher's records and observed one teacher (Marlene L. DOH 10.30.2017) to have a child abuse and neglect inguiry (Trails) background check to be dated 12.2017. Correction: Child abuse and neglect inquirys (Trails) background checks must be completed at least every five years. Correct immediately by 2.28.2024, and submit a written statement of compliance to the Specialist by 3.28.2024 Correct by 03/28/2024

Corrected Corrected by Mar 28, 2024

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

2.135.A · All child care providers must have a written plan for emergency notification of parents and reunification of families following an emergency or disaster.

The reunification plan was not shared with families, posing a potential safety hazard. Correction: The reunification plan must be written and shared with families. Correct by 2.28.2024, and submit a written statement of compliance to the Specialist by 3.28.2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: physical safety. 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 15 children's records and observed six children's records to be missing documentation of current and required emergency medical authorization. Correction: Obtain current emergency medical authorizations for all children's records as required. Correct immediately by 2.28.2024, and submit a written statement of compliance to the Specialist by 3.28.2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

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

An infant in the infant 2 classroom to have a sleeping infant, over the age of 12 months, asleep in the crib. Observed the mattress to have a cot sheet with the sheet's tag folded out and near the sleeping infants face. Observed a mattress tag, which was approximately 2 by 2 inches to be folded over near the infants face posing a potential suffocation hazard. Observed staff member Tara F. (DOH 2.11.20) to be in the classroom and to have completed the safe sleep training on 11.3.2023. Correction: All staff must demonstrate knowledgeable decision-making judgment and concern for the proper care and well-being of children. Correct immediately by 2.28.2024, and submit a written statement of compliance to the Specialist by 3.28.2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: physical safety. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 nine staff records and observed one staff member Margaret A. (DOH 10.23.2023) to be missing documentation of the current and required medical statement. Correction: Obtain current medical statements for all staff as required. Correct immediately by 3.28.2024, and submit a written statement of compliance to the Specialist. Correct by 03/28/2024

Corrected Corrected by Mar 28, 2024

Category: health medication. 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.

Reviewed nine staff records and observed one staff member Marlene L. (DOH 10.30.2017) to be missing documentation of the required child abuse prevention training. Correction: Obtain the required child abuse prevention training for all staff as required. Correct immediately by 2.28.2024, and submit a written statement of compliance and documentation of the required training to the Specialist by 3.27.2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.C.1 · Each infant up to eighteen (18) months of age and enrolled in the infant program must be provided with an individual crib, futon approved for infants, or other approved sleep/rest equipment meeting Consumer Product Safety Commission (CPSC) standards published by the Consumer Product Safety Commission (CPSC) at 16 CFR section 1218.2 (April 23, 2015); 16 CFR section 1219.2 (October 28, 2019); 16 CFR section 1220.2 (June 3, 2023); 16 CFR section 1221.2 (January 20, 2020); 16 CFR section 1222.2 (August 5, 2023); 16 C.F.R. section 1236.2 (June 23, 2022); and 16 C.F.R 1241.2 (February 15, 2022) herein incorporated by reference. No later editions or amendments are incorporated. These regulations are available at no cost from the CPSC at https://www.ecfr.gov. These regulations are also FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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. Individual cribs or futons must provide each infant with sufficient space for the infant’s length, size, and movement.

Identified through the staff statements that infants in the infant 2 classroom use cots in the classroom which are not apporved form infants, posing a potential safety hazard. Correction: Each infant enrolled in the infant classroom must be provided with sleeping equipment that is approved for infants and meets Comsumer Product Safety Commission standards. Correct immediately by 2.28.2024 and submit a written statement of compliance to the Specialist by 3.28.2024, Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

2.223.C.2.a · Mattresses for cribs and futons must have a properly fitted, clean sheet.

An infant in the infant 2 classroom to have an sleeping infant, over the age of 12 months, asleep in the crib. Observed the mattress to have a cot sheet with the sheet's tag folded out and near the sleeping infants face. Observed a mattress tag, which was approximately 2 by 2 inches to be folded over near the infants face posing a potential suffocation hazard. Correction: Mattresses for cribs and futons must have a properly fitted sheet. Corrected at the time of the inspection. The child was removed from the crib and a properly fitted sheet was placed on the mattress. Submit a written plan of action that includes providing infants with properly fitted sheets by 3.28.2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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.

Deconstructed cribs and other stacked equipment in the infant 2 classroom leaned against the wall in the sleeping and eating environment for the infants posing a potential safety hazard. Observed a rake in the toddler playgrounds unlocked storage area, accessible to children, and posing a potential safety hazard. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Furnishings must be sturdy, and free from hazards. Correct immediately by 2.28.2024, and submit a written statement of compliance to the Specialist by 3.28.2024. Correct by 02/28/2024

Corrected Corrected by Feb 28, 2024

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

7.702.63.A.1 · All meals and snacks provided by the center must meet current United States Department of Agriculture (USDA) Child and Adult Care Food Program (CACFP) meal pattern requirements and be offered at suitable intervals not more than three (3) hours apart. Children who are at the center for more than four (4) hours, day or evening, must be offered a meal. Arrangements must be made for feeding children who are in care before 6 a.m. or after 6 p.m.

Snacks documented on the menu for the week of 11.27.2023 showed that one food component is served at snack time. Identified through staff statements that the children had milk and cereal for breakfast and to be missing a fruit or vegetable. Correction: All meals and snacks must meet USDA standards. Correct immediately by 11.27.2023, and submit a written statement of compliance to the Specialist by 12.11.2023. Correct by 11/27/2023 Stage II Licensing Concern :

Corrected Corrected by Nov 27, 2023

Category: nutrition. Marked corrected in the state record.

7.702.46.A.14 · Staff to Child Ratios by AGES OF CHILDREN and NUMBER OF STAFF 6 weeks to 18 months (infants): 1 staff member to 5 infants 12 months to 36 months: 1 staff member to 5 toddlers 24 months to 36 months: 1 staff member to 7 toddlers 2-1/2 years to 3 years: 1 staff member to 8 children 3 years to 4 years: 1 staff member to 10 children 4 years to 5 years: 1 staff member to 12 children 5 years and older: 1 staff member to 15 children Mixed-age group 2-1/2 yrs to 6 yrs: 1 staff member to 10 children

On the day of the investigation observed the toddler twos classroom to have 11 children and observed three children under the age of two. On 9.26.2023 observed the toddler twos classroom to have six children and one teacher from 7:00 am until 9:42 am and seven children and one teacher from 11:00 am until 3:00 pm and observed two of the children in the classroom on that day to be under the age of two. Correction: Staff to child ratio must be maintained at all times. Correct immediately by 11.27.2023, and submit a written statement of compliance to the Specialist by 12.11.2023. Correct by 11/27/2023 Stage II Licensing Concern : A child was injured and the injury was not witnessed. - FOUNDED

Corrected Corrected by Nov 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.62.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

Identified through staff members statement that on 11.27.2023 the facility wrote an incident report for a child who had a red mark on their forehead and the staff did not see what happened. Correction: All children must be directly supervised at all times. Correct immediately by 11.27.2023, and submit a written

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

Three children's records and observed one child's record to be missing documentation of the required emergency medical authorization. Correction: Obtain the required emergency medical authorization for all children as required. Correct immediately by 11.27.2023, and submit a written statement of compliance to the Specialist by 12.11,2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: health medication. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed four staff records and observed one staff member Savannah T. (DOH 4.24.2023) to be missing documentation of the required Standard Precautions training. Observed the training to expired on 11.14.2023. Correction: All staff must obtain the required Standard Precautions training, Correct immediately by 11.27.2023, and submit a written statement of compliance and documentation of the training to the Specialist by 12.11.2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.42.C · Staff working with infants less than twelve (12) months old must complete a Department-approved Safe Sleep training prior to working with infants less than twelve (12) months old. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed four staff records and observed one staff member Savannah T. (DOH 4.24.2023) to be missing documentation of the required Safe Sleep training. Observed the training to expired on 11.14.2023. Correction: All staff must obtain the required Safe Sleep training, Correct immediately by 11.27.2023, and submit a written statement of compliance and documentation of the training to the Specialist by 12.11.2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: physical safety. 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 four staff records and observed one staff member Savannah T. (DOH 4.24.2023) to be missing documentation of the required Abuse Prevention training. Observed the training to expired on 11.14.2023. Correction: All staff must obtain the required Abuse Prevention training, Correct by 12.11.2023 and submit a written statement of compliance to the Specialist. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.45.B.2.a · In the infant program, there must be a qualified Infant Program Supervisor present sixty percent (60%) of the hours of operation of the infant program who is responsible for the care of the infants. An individual FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ qualified as an Infant Early Childhood Teacher must be responsible during the remaining time.

The infant program supervisor (IPS) did not meet the required qualifications on the day of the investigation. Observed a qualified IPS does not work in the infant classroom for at least 60% of the day. Correction: There must be a qualified infant program supervisor in the classroom at least 60% of the operating hours. Correct immediately by 11.27.2023, and submit a written statement of compliance and documentation of a staffing pattern and the qualifications of an IPS to the Specialist by 12.11.2023. Previously cited on 3.30.2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

7.701.56.D · . All facilities, except family child care homes must post in every room of the child care facility, excluding bedrooms and living areas, the license capacity of the room and the staff-to-child ratio required by regulation to be maintained for the age of children cared for in the room.

The capacity and ratio posting to be missing from the preschool classroom. Correction: The ratio and capacity must be posted in each licensed area. Corrected at the time of the inspection. The Director posted a ratio and capacity notice in the preschool classroom. No response required. Previously cited on 3.30.2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.A.7 · There must be assigned at least one (1) qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. A Director may be the assigned teacher for one (1) group of children.

Reviewed four staff records and observed one staff member Tara C. (DOH 10.21.2019) to be missing documentation of the required qualifications. Observed Tara C. to be alone with children on 9.26.2023 from 4:30 until 5:15 pm. Observed Faith S., working alone in the infant classroom on 11.27.2023, to have an affidavit and observed the employee's assigned credential in PDIS to be a level one. (The employee did not submit a new application in PDIS.) Correction: There must be at least one qualified early childhood teacher assigned to each group of children. Correct immediately by 11.27.2023, and submit a written statement of compliance and documentation of a staffing pattern for the toddler twos classroom and the infant classroom, including qualified early childhood teachers to the Specialist by 12.11.2023. Previously cited on 3.30.2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

Category: supervision. Marked corrected in the state record.

7.702.5.E · If the parent(s)/guardian(s) agree(s) that the center should care for a child in the toddler program who is twelve (12) months old but not walking independently, or is over thirty-six (36) months old, the center must have on file a written statement from a health care provider confirming that care for the child is appropriate in the toddler program.

Identified through the staff statements that a child in the toddlers classroom was not yet walking and the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ facility did not obtain documentation from the health care provider that the classroom is appropriate for the child. Correction: Obtain documentation for children who are not yet walking that the toddlers classroom is appropriate for the child. Correct immediately by 11.27.2023, and submit a written statement of compliance to the Specialist by 12.11.2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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

7.702.64.B · Children must not be subjected to physical or emotional harm, humiliation, or threats.

The Toddler Twos classroom teacher open the toddler door and ask for help with a child due to the child's behavior. Observed the teacher to be agitated and slam the toddler door closed. Observed a note on the toddler door asking adults to close the door softly as to not "scare" the children. Identified through the Director's statement that this teacher has been coached about their tone and appropriate staff to child interactions in the past. The Licensing Specialist observed the teachers tone to be harsh with the children throughout the investigation, stating "bad choices" and "why are you doing this" [to children]. Correction: Children must not be subjected to physical or emotional harm, humiliation, or threats. Correct immediately by 11.27.2023, and submit a written statement of compliance to the Specialist by 12.11.2023. Correct by 11/27/2023

Corrected Corrected by Nov 27, 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.

An electrical plug/cord to be plugged into the wall, in the preschool classroom, not attached to any electronic device, observed the end portion to be accessible to children and posing a potential safety hazard. Correction: Indoor materials must be safe for children. Corrected at the time of the inspection. The plug was removed from within reach of children. No response required. Correct by 11/27/2023

Corrected Corrected by Nov 27, 2023

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