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

In the Preschool classroom two containers of wet wipes, one which was labeled "keep out of reach of children" were within reach in the bathroom area. Correction: All items labeled "keep out of reach of Children" must be inaccessible to children at all times. Correct immediately and respond with written statement of compliance. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Marked corrected in the state record.

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

In a preschool classroom the cabinets under the children's sink was accessible. Corrosion/dirt material was observed inside the cabinet. Correction: Hazardous areas should be inaccessible to children. Correct immediately and respond with written statement of compliance. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Marked corrected in the state record.

2.220.D · Over-the-counter medication must be kept in the originally labeled container and be labeled with the child's first and last name.

In the infant and toddler rooms there were several bottles of diaper cream and lotion that were not labeled with the child's name or only had the partial name. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All over-the-counter medication items must be in the original containter and be labeled with the child's first and last name. Correct immediately and respond with written statement of compliance. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Category: health medication. 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 resilient surface on the preschool playground was below 6 inches for all areas measured near the play structure and slides. Correction: All climbing equipment (18) inces of higher must have a reilient surface of at least (6) inches in the use zone surrounding the equipment. Correct immediately and respond with written statement of compliance. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

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 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 10 staff files and found two staff files to be missing the original medical statement from a health care provider. Correction: Within 30 days of employment all staff must have an original medical statement from a health care provider that is in their file. Correct and provide written statement of compliance . Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

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

2.209.B.4 · The center must maintain and update annually and upon changes, a record on each child that FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ includes: A copy of the child’s health statement completed by a health care provider

Reviewed seven child files and found one child to have an incomplete health statement, which didn't have the date of the last health visit. Correction: All children must have a complete and current health statement with the current date of the last visit in their file. Correct and respond with written statement of compliance. Correct by 03/17/2026

Corrected Corrected by Mar 17, 2026

Category: health medication. 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 seven child files and found two children to have expired emergency medical care authorizations. Correction: All children must have a current emergency medical care authorization that is updated annually by the guardians. Correct immediately and respond with written statement of compliance. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Category: health medication. 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 drill log and found the required drills were not being completed as required. Correction: All required drills must be completed according tho their drill schedule and maintained. Completed drills must be documented in the annual drill log. Correct immediately and respond with written statement of compliance. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Category: recordkeeping. Marked corrected in the state record.

2.121.D · Each owner and employee sixteen (16) years of age or older of a facility or agency shall complete the fingerprint process at an approved vendor. Payment of the fee for the criminal record check is the responsibility of the individual being checked or the facility or agency. The results of the criminal record check, the CBI and/or Federal Bureau of Investigation (FBI) response letters, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed ten staff files and found one staff to be missing documentation of the FBI clearance letter in their file. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that the staff members has reviewed the powerpoint within 24 hours. Submit documentation of (FBI Clearance Letter) for the staff member with written response to the Specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

Category: background checks. 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 must be available for review upon request by a Licensing Specialist.

Reviewed ten staff files and found two staff to be missing the TRAILS abuse and neglect clearance letter in their file. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members 1 and 2 have reviewed the powerpoint within 24 hours. Submit documentation of (TRAILS Clearance Letter) for staff members 1 and 2 with written response to the Specialist. Correct by 02/17/2026

Corrected Corrected by Feb 17, 2026

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

2.212.M · Within thirty (30) calendar days of the last day of employment, staff members must be provided a letter verifying their experience at the center. The letter must contain the center’s address, phone number, and license number; the employee’s start date and end date; and the total number of hours worked with children. Hours worked with infants and toddlers must be documented separately from hours worked with other age groups. The letter must be signed by a director, owner, or human resources agent of the center or governing body.

Identified through staff statements and staff file reviews that experience letters are only being sent by request and some letters were missing complete documentation of hours and related employment dates. Correction: The administration has 30 days after staff termination to generate a current and up-to-date experience letter that is verified and sent to the former staff. Correct and respond with written statement of compliance describing the correction process. Correct by 03/17/2026 ________________________________________________

Corrected Corrected by Mar 17, 2026

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 9 staff files and found Rebekah C to have an expired Standard Precautions training. Correction: All staff must complete Standard Precautions training prior to working with children and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 03/31/2025

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. Marked corrected in the state record.

2.213.J · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Working with an Early Childhood Mental Health Consultant. This course is required once and will be counted towards ongoing professional development.

Reviewed the Directors (Rebekah's) file and found it to be missing documentation of completion of the Working with an Early Childhood Mental Health Consultant training, Correction: All Directors must complete the Working with an Early Childhood Mental Health Consultant training. Correct and provide documentation of completion with written response. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

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

2.213.K · Within ninety (90) calendar days of employment, all directors and assistant directors must complete the Department-approved training: Introduction to Child Care Health Consultation. This course is required once and will be counted towards ongoing professional development.

Reviewed the Director (Rebekah's) file and found it to be missing documentation of completion of the FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Introduction to Child Care Health Consultation training. Correction: All Directors must complete the Introduction to Early Childhood Mental Health Consultation training. Correct and provide documentation of completion with written response. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

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

2.213.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 9 staff files and found Rebekah C to have an expired Infant Safe Sleep training. Correction: All staff who work with Infants must complete Infant Safe Sleep training prior to working with children and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 03/31/2025

Corrected Corrected by Mar 31, 2025

Category: physical safety. 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 4 child files and found 2 children to have expired health statements. Correction: All children must have current health statements within 30 days of hire and 30 days of expiration. Correct and respond with statement of compliance. Correct by 04/30/2025

Corrected Corrected by Apr 30, 2025

Category: ratio. Marked corrected in the state record.

2.216.B.1.e · There must be at least one (1) staff member on duty in each infant room at all times who holds a current Department-approved first aid and safety certificate that includes cardiopulmonary resuscitation (CPR) for all ages of children.

Reviewed the file for the Infant staff on duty at the time of the inspection and found they did not have current full CPR/First Aid training. Correction: There must be one staff member on duty in the Infant classroom who has full CPR/First Aid training. Correct immediately and provide documentation of training completion with written response. Correct by 03/31/2025

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. Marked corrected in the state record.

2.216.C.3 · For every fifteen (15) or fewer toddlers, there must be at least one (1) staff member in the toddler program at all times who has a current Department-approved first aid and safety certificate that includes (CPR) for all ages of children.

Reviewed files for four toddler staff on duty on the day of the inspection, and found no toddler staff to have full CPR/First Aid training. Correction: There must be at least one staff member with full CPR/First Aid training on duty for every 15 toddlers at the program. Correct immediately and provide documentation of training completion with written response. Correct by 03/31/2025

Corrected Corrected by Mar 31, 2025

Category: recordkeeping. 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 preschool playground, the use zone around the base of the tunnel slide, the turning slide and the rock wall had less than 6 inches of resilient surfacing. Correction: All climbing equipment over 18 inches must have at least 6 inches of resilient surfacing throughout their use zones. Correct immediately and respond with statement of compliance. Correct by 03/31/2025

Corrected Corrected by Mar 31, 2025

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

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

Identified through staff statements that SM2 pulled a child toward their cot by their arm. Staff member was terminated. Correction: Children must not be subject to physical harm. Correct immediately and respond with statement of compliance. Correct by 08/07/2024 Stage II Licensing Concern : The facility failed to report an incident as required by statue and licensing regulations with the required timeframes. - FOUNDED

Corrected Corrected by Aug 7, 2024

Marked corrected in the state record.

2.124.A.1.d · Within twenty-four (24) hours, excluding weekends and holidays, of the occurrence of a critical incident at the facility or within twenty-four (24) hours of a child’s return to the facility the licensee must report in writing to the Colorado Department of Early Childhood, Division of Early Learning, Licensing, and Administration the following critical incidents involving a child in the care of the facility or a staff member on duty: Any allegation of physical, sexual, or emotional abuse or neglect to a child that results in a mandatory report to law enforcement or a county department of human or social services agency, or the child abuse reporting hotline as described in section 19-3-304, C.R.S.

Identified through staff statements that the facility failed to report an incident as required by statue and FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ licensing regulations with the required time frames. Correction: Allegations of physical, sexual or emotional abuse or neglect must be reported to the County. Correct immediately and respond with written response. Correct by 08/07/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Aug 7, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.15.f · When combining age groups, not including individual child transitions, children must be cared for in the room licensed for the youngest child in care, including the outdoor play area

Identified through name to face sheet review that there was a 1 year old child in the preschool classroom on several different dates in the early mornings. Correction: When combining age groups, children must be cared for in the room licensed for the youngest child in care. Correct immediately and respond with statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Marked corrected in the state record.

2.217.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.

Identified through staff statements and name to face sheet reviews that two aides were in the Toddler room FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ together for a day and a half, with no ECT in the classroom. Correction: There must be at least one ECT qualified staff supervising each group of children. Correct immediately and respond with statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: supervision. 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.

Identified through staff statements that managers are aware of licensing concerns, and that changes are not always made. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staff must demonstrate knowledgeable decision making, judgment and concern for the care and well being of children. Correct immediately and respond with statement of compliance. Correct by 05/30/2024 ________________________________________________

Corrected Corrected by May 30, 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: 1 staff member to 10 children.

Identified through staff statements and name to face reviews that the Infant teacher has had 6-7 children on their own in the mornings. Identified through staff statements and name to face reviews that the two's classroom has had up to 11 to 12 children in the afternoons, with 1 year old children in the classroom. On the day of the inspection, the infant room had 11 children and two staff, and the Two's classroom had 9 children and one staff member. Correction: Staff to child ratios must be maintained at all times. Correct immediately and respond with statement of compliance. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: ratio. Marked corrected in the state record.

2.217.A.15 · Maximum Group Size for Children by Ages of children and maximum group size: 6 weeks to 18 months:10 infants,12 months to 36 months:10 toddlers, 24 months to 36 months: 14 toddlers, 2-1/2 years to 3 years: 16 children, 3 years to 4 years: 20 children, 4 years to 5 years: 24 children, 5 years and older: 30 children, Mixed age group 2-1/2 to 6 years of age: 20 children.

On the day of the inspection, the Infant classroom had 11 children. Identified through staff statements and name to face reviews that the Two's classroom has had 11-12 children in the afternoons, with one year old children in the classroom. Both classrooms were out of group size capacity. Correction: Group size capacity must be maintained at all times. Correct immediately and respond with statement of compliance. **Partially corrected at the time of the inspection, Infants were separated into two classrooms.** Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: ratio. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ care homes, and qualified exempt provider homes:

Reviewed 2 staff files and found kary W to be missing an out of state background check. Kary has lived out of state in the past five years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Kary W has reviewed the powerpoint within 24 hours. Submit documentation of an Out of State Clearance Letter for Kary W with written response to the Specialist. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: supervision. Marked corrected in the state record.

2.120.C.2 · 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: All other requests except those specified in rule section 2.120(C)(1) must be submitted within ten (10) calendar days of the first day of employment for each employee or facility.

Reviewed 2 staff files and found that Kary W did not have a TRAILS clearnance letter and that the check had not been submitted. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Kary W has reviewed the powerpoint within 24 hours. Submit documentation of the TRAILS Clearance Letter for Kary W with written response to the Specialist. Correct by 05/30/2024

Corrected Corrected by May 30, 2024

Category: recordkeeping. Marked corrected in the state record.

2.210.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

Reviewed 12 staff files and found Alanna R to be missing documentation of ECT qualifications. Alanna was being used as the ECT in the Preschool classroom at the time of the inspection. Correction: All staff must have record of their qualifications for the position they hold on file. Correct and provide documentation of qualification with written response. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.217.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.

The preschool classroom did not have a qualified ECT supervising the children at the time of the inspection. Correction: All classrooms must have a qualified ECT supervising the group. **Corrected at the time of the inspection, a qualified ECT was moved into the classroom.** No response is required. Correct by 05/02/2024

Corrected Corrected by May 2, 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:

Reviewed 12 staff files and found Ulfat A, Jessica M and Alanna R to be missing documentation of completion of the Out of State background checks. All three staff indicated that they had lived out of state in the last 5 years. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Ulfat A, Jessica M and Alanna R have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for Ulfat A, Jessica M and Alanna R with written response to the Specialist. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: supervision. Marked corrected in the state record.

2.213.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 12 staff files and found Rebecca L to have an expired Infant Safe Sleep training. Rebecca L works FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ with infants. Correction: All staff working with infants must complete the Infant Safe Sleep training prior to working with Infants, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: physical safety. 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 12 staff files and found Rebecca L, Jessica M, Aaron D and Ulfat A to have expired Mandatory Reporter training. Correction: All staff must complete Mandatory Reporter training within 30 days of hire, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.L · All staff must have at least one (1) hour of child development training within ninety (90) days of employment. This training must include the major domains (cognitive, social, emotional, physical development and approaches to learning). This training is required once and will count toward ongoing training requirements if taken after the date of hire.

Reviewed 12 staff files and found Rebecca L to be missing documentation of completion of at least one hour of child development training. Correction: All staff must have at least 1 hour of child development training within 90 days of hire. Correct and provide documentation of completion with written response. Correct by 06/02/2024

Corrected Corrected by Jun 2, 2024

Category: recordkeeping. 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 12 staff files and found Ulfat A and Rebecca L to have expired Standard Precautions trainings. Correction: All staff must complete Standard Precautions training prior to working with children, and renew the training annually. Correct immediately and provide documentation of completion with written response. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

Category: recordkeeping. 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 5 child files and found 2 children to be missing documentation of a current health statement and 3 children to have expired health statements. Correction: All children must have current health statements on file within 30 days of enrollment, and provide updated health statements within 30 days of expiration. Correct and respond with statement of compliance. Correct by 06/02/2024

Corrected Corrected by Jun 2, 2024

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 5 child files and found 2 children to have expired written emergency medical authorization. Correction: Written authorization for emergency medical treatment must be on file and updated annually. Correct

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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.

In the infant classroom, the back emergency exit door was blocked with classroom supplies. Correction: Emergency exits must be clear at all times. Correct immediately and respond with statement of compliance. Correct by 05/02/2024

Corrected Corrected by May 2, 2024

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