2.224.B.2 · All infants less than six (6) months of age must be held for bottle feeding. Bottles must not be propped. Older infants must not be allowed to hold their own bottles when lying flat. Bottles must not be allowed in a crib with the infant.

While completing the safety walk-through, Licensing specialist witnessed a bottle in a crib with a sleeping baby, per staff member, child lays flat while drinking their bottle until they fall asleep. Correction: Infants must not lay down in crib while drinking a bottle. Submit a written statement of compliance to the Specialist. Correct by 05/05/2025

Corrected Corrected by May 5, 2025

Category: physical safety. 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.

Per staff members statements, employees who do not have qualifications have been left in classrooms alone with 8-10 children for closing or nap time. On 2/19/25 at 4pm two staff members who are not early childhood qualified were in the infant room alone with 5 infants. Correction: Each classroom must have qualified staff for the room they are assigned to. Submit a written statement of compliance with documentation for staff qualifications to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: supervision. Marked corrected in the state record.

2.233.C.2 · If the toddler program is combined with a large child care center or an infant program, toddler facilities, both indoor and outdoor, must be completely separate from facilities for other age groups, except as allowed by rule sections 2.232(A)(6) and (8). If the facility wishes to provide opportunities for a toddler to have occasional contact with siblings, plans must be approved by the Department licensing representative.

Per staff members statements, near closing time, ch1 who was under the age of 2, and assigned to freshman II classroom, was in the preschool room for an undetermined amount of time. Correction: Toddlers must be completley seperate from other age groups. Submit a written statement of compliance to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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 room, there were small broken chalk pieces, broken crayons, marker lids and several click and spin pieces from a table puzzle accessible to children under the age of 3. Posing a potential choking hazard. Correction: Toys, furnishings, equipment and any materials accessible to children under the age of 3 must be free of any hazards. Submit a written statement of compliance to the Specialist Correct by 02/19/2025

Corrected Corrected by Feb 19, 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.

Per staff members statements, in the preschool room, for breakfast and lunch, a hot crock pot is being left on the shelf where FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ children store their water bottles. This is accessible to children and posing a hazard. Correction: All rooms must be safe and free of any hazards to children. Submit a written statement of compliance to the Specialist. Correct by 02/19/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Feb 19, 2025

Category: physical safety. 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.

Isaac F. (DOH 1/27/25) and Kevin U. (DOH 2/5/25), have not completed the Department approved standard precaution training, prior to caring for children. Correction: Prior to caring for children, obtain the current training, and maintain in staff file. Submit a written statement of compliance with documentation to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: recordkeeping. 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.

Isaac F. (DOH 1/27/25) and Kevin U. (DOH 2/5/25) have not submitted for their TRAILS clearance letters within the required time frame. 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 02/19/2025

Corrected Corrected by Feb 19, 2025

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

2.120.C.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:

Isaac F. and Kevin U. do not have a TRAILS clearance letter, both have had unsupervised access to children. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's

Open Not marked corrected in the state record

Category: supervision. 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.

Isaac F. and Kevin U. do not have CBI or FBI clearance letters, both have had unsupervised access to children. 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, FBI, Clearance Letters for staff members with written response to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: supervision. 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.

Isaac F., and Kevin U. do not have the department approved training on emergency and disaster preparedness training. Both staff members have been in classrooms caring for children. Correction: Obtain correct training prior to caring for children, and maintain in staff file. Submit a written statement of compliance with documentation to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 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.

In the toddler room (Junior 2), Kirkland baby wipes with a manufacture label of keep out of reach of children, were on a shelf accessible to children. Previously cited 12/2/24. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: All items labeled keep out of reach of children must be inaccessible to all children at all times. Corrected at the time of visit: Denise put the wipes higher on the shelf inaccessible to children. Submit a written statement of compliance to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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.

In the Infant room a gate was attached to the inside of the door. Preventing free and unobstructed egress. Previously cited on 6/13/2025. Correction: Only single action hardware is permitted on the doors. Corrected at the time of visit: Hayley removed the gate and put it in a different room. Submit a written statement of compliance to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: physical safety. 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.

Isaac F. (DOH 1/27/25) and Kevin (DOH 2/5/25) have not completed the Department approved training on prevention of shaken baby/abusive head trama, prior to working with children under the age of 3. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Prior to caring for children, obtain the current training, and maintain in staff file. Submit a written statement of compliance with documentation to the Specialist. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

Category: recordkeeping. 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, SM2 didn't notice Ch1 enter the bathroom. Correction: All children must be under the direct supervision at all times. Correct by 01/15/2025 Stage II Licensing Concern : Ch1 was taking other children's clothing off on the playground. - FOUNDED

Corrected Corrected by Jan 15, 2025

Category: supervision. Marked corrected in the state record.

2.232.A.4 · The play area must be designed so that it is easily supervised.

Per staff members statements, 4 children in the playhouse outside conducting inappropriate behaviors. Correction: The play area must be easily supervised.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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.

Per staff statements, preschool and toddler classrooms were on the same playground at the same time. Correction: Group size must be maintained at all times. Submit a written statement of compliance to the Specialist. Correct by 01/15/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Jan 15, 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 13 children files, identified Ch1, Ch2, and Ch10 with expired emergency medical authorization acknowledgment in their files. Ch3, Ch11 and Ch12 missing their emergency medical authorization acknowledgment form. Correction: Obtain current emergency medical authorization for all children. Submit a written statement of compliance to the Specialist. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ within thirty (30) calendar days after the first date of employment. Subsequent self-reported health histories must be submitted annually.

Reviewed 16 staff files, identified Stephanie and Claudia missing health evaluations in their file. Correction: Obtain a current health evaluation for staff members. Submit a written statement of compliance to the Specialist. Correct by 01/02/2025

Corrected Corrected by Jan 2, 2025

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

2.213.F · Within thirty (30) calendar days of employment, all employees caring for children, not required by rule to be certified in First Aid and CPR, must complete the Department-approved Introduction to First Aid and CPR module. The module must be renewed every two (2) years.

Reviewed 16 staff files, identified Jaden A., Judy P., and Stephanie E. to be missing the CPR and 1st aid module. Correction: Obtain the current training. Submit a written statement of compliance to the Specialist. Correct by 01/02/2025

Corrected Corrected by Jan 2, 2025

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.

Reviewed 13 children files, identified Ch12 to be missing their immunization status. Correction: Obtain the current immunization status for child.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

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 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 13 children files, identified Ch5, ch7, ch8, ch10 with expired health evaluations. Correction: Obtain current health evaluations for all children. Submit a written statement of compliance to the Specialist. Correct by 01/02/2025

Corrected Corrected by Jan 2, 2025

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

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

In Junior 2 classroom in a cubbie, and in Senior classroom on a shelf near a small group table there were baby wipes with a manufacture label of "keep out of reach of children", all were within reach of all children. Correction: All items labeled 'keep out of reach of children' must be inaccessible to all children. Corrected at the time of visit: Daley removed all baby wipes to a high shelf inaccessible to all children. No written respons needed. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

Marked corrected in the state record.

2.206.B.22 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure for diapering, toilet training, and toileting.

Facility did not have diaper logs for children. Licensing Specialist reviewed diaper logs from the RP, verifying the facility is not following their policy. Per facility policy and staff members statement, diapers are to be changed every 2 hours or as needed. Correction: Procedure for diaper changing must be followed. Submit a written statement of compliance to the Specialist. Correct by 07/13/2024

Corrected Corrected by Jul 13, 2024

Category: recordkeeping. 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.

Per classroom attendance log, on several dates from January to March 2024, one staff member was logged into the purple room with over 5 children. For April and May, staff there were no staff members signed in the room. Correction: Staff to child ratios must be followed at all times. Submit a written statement of compliance to the Specialist. Correct by 06/13/2024 ________________________________________________

Corrected Corrected by Jun 13, 2024

Category: ratio. 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.

In freshman 2 infant room, and in toddler junior room gates attached inside door. Preventing free and unobstructed egress. Correction: Only single action hardware is permitted on doors.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

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

In Seniors room, an unlocked storage cabinet with Members Mark Soap, Bleach, Gental Clean Wipes, Hot Shot Insect Spray and Goo Gone. All with a manufacture label 'keep out of reach of children' and all within reach of children. Correction: Immediately, all items with a manufacture label Keep out of reach of children, must be inaccessible to children. Corrected at the time of visit: Daley locked the door. No written response needed. Correct by 12/06/2023

Corrected Corrected by Dec 6, 2023

Marked corrected in the state record.

7.702.71.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 Freshman 1 observed 2 pink balls, and in Freshman 2, 6 multi colored balls, all with a manufacture label of 3+, in the play are with children. All posing a possible choking hazard. Correction: Immediately, Toys must be appropriate for ages room is licensed for. Corrected at the time of visit: Daley removed all balls to the correct rooms.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

7.702.81.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.

Per Denise's statement, Freshman 2 room, which is licensed for 1-3 year olds, is being used as a multi purpose room for children over the age of 3. Correction: Immediately, rooms must not be used for ages or capacity that is not within the license. Submit a statement of compliance to the Specialist. Correct by 01/06/2024

Corrected Corrected by Jan 6, 2024

Marked corrected in the state record.

7.702.41.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 9 staff files, identified Bridget and Daisy missing health evaluations. Correction: Obtain current health evaluations. Submit a statement of compliance to the Specialist. Correct by 01/06/2024

Corrected Corrected by Jan 6, 2024

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

7.702.42.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 9 staff files, identified Daisy missing the shaken baby training. Correction: Immediately, obtain the Department approved shaken baby/abusive head trauma training. Submit a statement of compliance to the Specialist. Correct by 01/06/2024

Corrected Corrected by Jan 6, 2024

Category: recordkeeping. 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 9 staff files, identified Bridget missing the child abuse prevention training. Correction: Immediately, obtain the Department approved child abuse prevention training. Submit a statement of compliance to the Specialist. Correct by 01/06/2024

Corrected Corrected by Jan 6, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.42.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 9 staff files, identified Daley missing the early childhood mental health consultant training. Correction: Obtain the Department approved early childhood mental health consultant training. Submit a statement of compliance to the Specialist. Correct by 01/06/2024

Corrected Corrected by Jan 6, 2024

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

7.701.32.J · . 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 State Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before prior to the five (5) years from the date reflected on the current clearance letter.

Reviewed 9 staff files, identified Denise, Daley, Susan, Bridget and Judy with expired TRAILS clearance letters. Correction: Immediately, all individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) webpage PowerPoint. Submit verification that staff members Denise, Daley, Susan, Bridget and Judy have reviewed the PowerPoint within 24 hours. Submit documentation of clearance Letters for staff members Denise, Daley, Susan, Bridget and Judy with a written response to the Specialist. Correct by 01/06/2023

Corrected Corrected by Jan 6, 2023

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