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 staff statement and video review that staff did not witness an injury to a child on the playground. Correction: All children must be under direct supervision at all times. Correct immediately and respond with statement of compliance. Correct by 04/21/2025 Stage II Licensing Concern : Program did not report a reportable injury to the Department. - FOUNDED

Corrected Corrected by Apr 21, 2025

Category: supervision. Marked corrected in the state record.

2.124.A.1.b · 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: An injury to a child that requires medical attention by a health care professional or admission to a hospital, whether or not treatment was given. This report must be completed in the online injury system within 24 hours of an incident. If a provider is unable to access the online system, you must use the paper form, and submit the form to the Department within 24 hours of the incident.

Identified through staff statements that an injury that resulted in a child receiving medical attention was not reported to the Department as required. Correction: All injuries that result in a child receiving medical attention must be reported to the Department within 24 hours. Correct immediately and respond with statement of compliance. Correct by 04/21/2025 Stage II Licensing Concern : Injury reports are not being shared with parents as written policy states. - FOUNDED

Corrected Corrected by Apr 21, 2025

Category: ratio. Marked corrected in the state record.

2.206.B.10 · The written policies and procedures must be developed, implemented, and followed, and must include at a minimum the following information: The procedure, including notification of parent(s)/guardian(s), for handling children's illnesses, accidents, and injuries

Program did not provide an injury report to parents as stated in their policy. Correction: Policies regarding injury reporting must be followed as outlined in the program policies. Correct immediately and respond with statement of compliance. Correct by 04/21/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Apr 21, 2025

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 32 staff files and found Rylee B, Madison E and Madalyn N to be missing documentation of their TRAILS clearance letters. Correction: Trails letters must be maintained by the program for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU)

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

2.220.A · Any unexpired routine medication, prescription or non-prescription (over the counter), must be administered only with a current written order of a health care provider with prescriptive authority and with written parental consent. Home remedies, homeopathic medication, vitamins, and supplements must not be administered to children in child care.

Reviewed medications kept on site and found two children to have expired written orders and two children to be missing medications prescribed on the orders. Correction: All medications kept on site must have current written orders from a health care provider and all prescribed medications must be provided. Correct immediately and respond with statement of compliance. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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

Reviewed 32 staff files and found Tara R, Liz J-M, and Elena A to be missing health statements that are signed and dated by a physician or health care provider. Correction: All staff must have a health statement that is signed and dated by a physician or health care provider on file within 30 days of hire. Correct and respond with statement of compliance. Correct by 03/19/2025

Corrected Corrected by Mar 19, 2025

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 32 staff files and found Lydia M to have an expired Child Abuse Prevention training. Correction: All staff must complete Child Abuse Prevention training within 30 days of hire and renew the training annually. Correct immediately and provide documentation with written response. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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 32 staff files and found Liz J-M and Lydia M to have expired Standard Precautions trainings. Correction: All staff must take Standard Precautions training prior to working with children, and renew the training annually. Correct and provide documentation of completion with written response. Correct by 02/19/2025

Corrected Corrected by Feb 19, 2025

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 32 staff files and found Gabrielle G to be missing documentation of a CBI clearance letter. Correction: CBI clearance letters must be available for review. All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that Gabrielle G has viewed the point within 24 hours. Submit documentation of their CBI Clearance Letter for Gabrielle G 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.

2.217.A.8.b · Full day programs may have Assistant Early Childhood Teachers supervise preschool-age and older children during the following periods of operation: Nap time: an Assistant Early Childhood Teacher may be alone with children for up to one (1) hour during nap

Identified through staff file review that the staff member covering a nap break of 4/4/24 was an Aide and was not qualified to be alone. Correction: Staff covering nap breaks must be qualified as an assistant teacher. Correct immediately and respond with statement of compliance. Correct by 06/12/2024

Corrected Corrected by Jun 12, 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.

There was a bag of potting soil labeled "keep out of reach of children" in the stairwell leading to the playground. Correction: Items labeled keep out of reach of children must be inaccessible to children. **Corrected at the time of the inspection, potting soil was removed from the building.** No response is required. Correct by 06/12/2024

Corrected Corrected by Jun 12, 2024

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

2.209.A.9 · 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: Written authorization from a parent/guardian for media release.

Identified through child file review and social media review that a child who did not have authorization for media release did have a picture posted on the programs social media. Correction: Program must follow the permissions granted by families for media release. **Corrected at the time of the inspection, photo was removed from social media.** No response is requried. Correct by 06/12/2024 ________________________________________________

Corrected Corrected by Jun 12, 2024

Category: recordkeeping. Marked corrected in the state record.

2.223.D.5.c · Children who do not sleep after thirty (30) minutes must be allowed to move to another area and be provided with quiet toys and equipment to play with such as puzzles or books; and

Identified through staff statements that children are not allowed off their cots after 30 minutes. Correction: Children must be allowed to move to another area off their cots if they do not sleep after 30 minutes. Correct immediately and respond with statement of compliance. Correct by 06/12/2024 Stage II Licensing Concern : Staff pick up children and physically redirect them to make them join activities. - FOUNDED

Corrected Corrected by Jun 12, 2024

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

2.225.I · Physical redirection may be used to keep a child from immediate imminent danger. The child must be immediately released once removed from imminent danger.

Identified through staff statements and documentation that children were picked up and moved when they were not in immediate danger. Correction: Physical redirection should not be used unless a child is in immediate imminent danger. Correct immediately and respond with statement of compliance. Correct by 06/12/2024 Stage II Licensing Concern : Staff forcefully placed a child on a cot. Staff members pat children on the back roughly at nap time. - FOUNDED

Corrected Corrected by Jun 12, 2024

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 a child was forcefully placed on their cot. Correction: Children must not be subjected to physical harm. Correct immediately and respond with statement of compliance. Correct by 06/12/2024 ________________________________________________ Stage II Licensing Concern : Staff yell at children. - UNFOUNDED Stage II Licensing Concern : There was only one staff member at nap time in the Preschool Pathways classroom. - UNFOUNDED ________________________________________________

Corrected Corrected by Jun 12, 2024

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 28 staff files and found Lisa 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 respond with documentation of compliance with written response. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

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

Reviewed 28 staff files and found Kelly to have an expired health statement. Correction: All staff must have a current health statement on file. Correct and respond with statement of compliance. Correct by 04/13/2024

Corrected Corrected by Apr 13, 2024

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

2.219.B.2 · Within thirty (30) calendar days of admission, and within thirty (30) calendar days following the expiration date of a previous health statement, the parent(s)/guardian(s) of each child must submit a statement of the child’s current health status or written verification of a scheduled appointment with a health care provider. The statement of the child’s current health status must be signed and dated by a health care provider who has seen the child within the last twelve (12) months, or within the last six (6) months for children less than two and one-half (2½) years of age. The statement must include when the next visit is required by the health care provider. All health statements must be kept at the center.

Reviewed 12 child files and found one child to have a health statement with no date of when the last physical occured. Correction: Child health statements must include the date when the physical occcured. Correct and respond with statement of compliance. Correct by 04/13/2024

Corrected Corrected by Apr 13, 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 12 child files and observed 2 to have expired emergency medical authorizations. Correction: Immediately obtain documentation of current emergency medical authorizations for children. Correct and respond with statement of compliance. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

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

2.218.B.3 · Admission procedures must be completed prior to the child's attendance at the center and must include: If applicable, a Department-approved health care plan authorized by the child’s health care provider and parent(s)/guardian(s) defining the interventions needed to care for a child who has an identified health or developmental condition or concern including, but not limited to seizures, asthma, diabetes, severe allergies, heart or respiratory conditions, and physical disabilities. Any applicable medications, supplies, and/or medical equipment must be available to the staff prior to the child’s first day of care. The staff working with a child with a health care plan must be informed, trained, and delegated responsibility for carrying out the health care plan by the Department-approved child care health consultant; supervision of the plan and interventions must be documented.

Reviewed medications and observed 1 emergency medication missing that was listed on a child's health care FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ plan but was not supplied to the facility. Correction: Immediately ensure all medications listed on children's health care plans are supplied and available. Correct by 03/13/2024

Corrected Corrected by Mar 13, 2024

Category: supervision. Marked corrected in the state record.