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

Window markers in the Toddler 2 classroom labeled for ages 6+ on the counter. Correction: Materials accessible to children under age 3 must not be a choking hazard. Corrected at the time of inspection, staff moved the markers to a locked cabinet. No response is necessary. Correct by 09/16/2025

Corrected Corrected by Sep 16, 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.

Sharp wires extending from the garden fencing, posing a potential safety hazard to children. Correction: Outdoor materials must be free from hazards. Corrected at the time of inspection, wires were removed from the garden area. No response is necessary. Correct by 09/16/2025

Corrected Corrected by Sep 16, 2025

Category: physical safety. 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 three staff files, observed SM2 to be missing out of state clearance letter for 1 state. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that SM2 have reviewed the powerpoint within 24 hours. Submit documentation of Out of State Clearance Letters for SM2 with written response to the Specialist. Correct by 09/16/2025

Corrected Corrected by Sep 16, 2025

Category: supervision. Marked corrected in the state record.

2.220.G.1 · Emergency medications are not required to be locked but must be stored in an area inaccessible to children, and easily accessible and identifiable to staff. Emergency medications must be stored in accordance with the Department-approved child care health consultant’s recommendation.

An emergency medication was not accessible in a classroom to a child with a severe allergy. The medication was located in a different classroom. Correction: Emergency medications must be easily accessible and identifiable to staff. Corrected at the time of inspection, Director had the medication moved to the correct classroom. No response is necessary. Correct by 06/03/2025

Corrected Corrected by Jun 3, 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.

A tube of prescription ointment in a low unlocked cabinet accessible to children and a large tub of Desitin on the floor in the bathroom both labeled "Keep out of reach of children" in the Early Pathways classroom accessible to children posing a potential safety hazard. Correction: All items labeled "Keep out of reach of Children" must be in accessible to children. Corrected at the time of

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.229.H · Sharp tools and instruments must be stored in areas inaccessible to children.

Adult scissors in a low unlocked drawer, accessible to children in the early pathways classroom, posing a potential safety hazard to children. Correction: Sharp tools and instruments must be inaccessible to children. Corrected at the time of inspection, director moved to a locked cabinet, inaccessible to children. No response is necessary. Correct by 06/03/2025

Corrected Corrected by Jun 3, 2025

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

2.120.D · The Trails child abuse and neglect records request must be made within ten (10) calendar days of the first day of employment for each employee or facility on the state-prescribed form, accompanied by the required fee.

Reviewed 28 staff files and observed 2 staff: Madison S. (DOH: 3/4/25 ) and Carolina S. (DOH: 5/12/25) to be missing TRAILS background check. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff members Madison S. and Carolina S. have reviewed the powerpoint within 24 hours. Submit documentation of TRAILS Clearance Letters for staff members Madison S. and Carolina S. with written response to the Specialist. Correct by 06/03/2025

Corrected Corrected by Jun 3, 2025

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

2.217.A.15.d · The licensed room capacity must not be exceeded at any time.

Observed 17 children signed into the EP1 classroom on 4/21/2025, exceeding the maximum capacity of 13 children. Specialist reviewed attendance verification sheets, observing room capacity to be exceeded on 4/2/2025, 4/4/2025 and 4/15/2025. Correction: Maximum capacity must not be exceeded at any time. Correct by 04/21/2025

Corrected Corrected by Apr 21, 2025

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.

On 4/21/2025, observed 17 children signed into the EP1 classroom with two staff, exceeding the 1:7 staff to child ratio. Correction: Staff child ratio must be maintained at all times. Correct by 04/21/2025

Corrected Corrected by Apr 21, 2025

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.

Observed 17 children signed into the EP1 classroom on 4/21/2025, exceeding the maximum group size of 14 toddlers. Correction: Maximum group size must not be exceeded. Correct by 04/21/2025 ________________________________________________ ________________________________________________

Corrected Corrected by Apr 21, 2025

Category: ratio. Marked corrected in the state record.

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 14 children's records and observed one child file to be missing the date on the providers signature from the child's health statement. Correction: Obtain dated signatures on health statements for all children's files. Correct by 7.10.2024, and submit a written statement of compliance to the Specialist. Correct by 07/10/2024

Corrected Corrected by Jul 10, 2024

Category: health medication. 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.

Reviewed 19 staff records and observed two staff members Jenaene R. (DOH 10.11.2023) and Danielle S. (DOH 10.0.2023) to be missing documentation of the required out of state background clearance letters. Observed both staff members to work for longer than 90 days. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Staff members must obtain all of the required background checks as required. Correct immediately by 6.10.2024, and submit a written statement of compliance and documentation of the background check clearance letters to the Specialist by 7.10.2024. Correct by 06/10/2024

Corrected Corrected by Jun 10, 2024

Category: supervision. Marked corrected in the state record.

7.701.12.A · . Violation of any provision of the Child Care Licensing Act or intentional false statements or reports made to the State Department or to any agency lawfully delegated by the State Department to make an investigation or inspection may result in fines assessed of not more than $100 a day to a maximum of $10,000.

The licensing Specialist completed a complaint investigation on 7.24.2023 and identified through staff members 4, 5, and 8 that they had concerns about staff member one. Identified on 10.9.2023 that the staff members felt coerced into making the false statements regarding staff member one. Correction: False statements must not be made to the State Department. Correct immediately by 10.9.2023, and submit a written statement of compliance to the Specialist by 10.23.2023. Correct by 10/09/2023 Stage II Licensing Concern :

Corrected Corrected by Oct 9, 2023

Marked corrected in the state record.

7.701.52.B.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 Office of Early Childhood, Division of Early Care And Learning 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.

The facility had an open County investigation and a caseworker arrived at the facility on 7/31/2023 to investigate the allegations. The facility did not report the open investigation to the Department. Correction: The facility must report any open County investigation to the Department within 24 hours. Correct immediately by 10.9.2023, and submit a written statement of compliance to the SPecialist by 10.23.2023. Correct by 10/09/2023 ________________________________________________ Stage II Licensing Concern : Bottle temperatures are too hot for infants. - UNFOUNDED Stage II Licensing Concern : Children are left in wet clothes for extended periods of time. - UNFOUNDED Stage II Licensing Concern : Permission to apply sunscreen is not obtained from parents or guardians. - UNFOUNDED Stage II Licensing Concern : Heavy cleaning is completed during childcare hours. - UNFOUNDED Stage II Licensing Concern : Staff member 1 harshly picked up a child by the arm, a child received an injury (clipboard fell on the face), and a staff member inappropriately disciplined a child. - UNFOUNDED Stage II Licensing Concern :

Corrected Corrected by Oct 9, 2023

Marked corrected in the state record.

7.702.51.A.2.b · At the time of admission, the parent(s)/guardian(s) must provide for each child entering the center: 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 10 children's records and observed one child to have an expired health statement on the day of the investigation. Correction: Obtain current health statements for all children as required. Correct by 10.23.2023, and submit a written statement of compliance to the Specialist. Correct by 10/23/2023

Corrected Corrected by Oct 23, 2023

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

An electrical plug/cord to be plugged into the powerstrip near the desk located in the back of the 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 the children, no response is required. Correct by 10/09/2023

Corrected Corrected by Oct 9, 2023

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

7.702.62.C.15 · Infants who fall asleep in a piece of equipment not approved for sleep must immediately be moved to their approved sleep area and placed on their back to sleep.

Identified through several staff statements that infants fall asleep in the chairs and are not immediately moved. Identified that one infant was moved from younger infants to older infants in the chair while they were alseep, posing a potential safety hazard. Correction: Infants must be moved immediately to the safe sleeping environment. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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

7.702.63.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.

Identified through several staff statements that sometimes bottles are propped up to feed children who are unable to hold their own bottle. Correction: Bottles must not be propped. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Marked corrected in the state record.

7.702.41.E · When caring for children, staff must refrain from the personal use of electronics including, but not limited to, cell phones and portable electronic devices.

Identified through staff statements that staff member 1 was on their cell phones on multiple occasions while supervising a group of infants. Correction: Staff must refrain from using cell phones while supervising children. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/31/2023

Corrected Corrected by Jul 31, 2023

Category: supervision. Marked corrected in the state record.

7.702.62.A.3 · Staff must be awake, alert, and actively supervising all children. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Identified through several staff statements that staff member 1 was observed sleeping while they were supervising a group of infants on several different occasions. Correction: Staff must be awake, alert, and supervising all children. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: supervision. Marked corrected in the state record.

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

Identified through staff statements that staff member 1 rubs children's backs for nap time in a harsh manner, a staff member became upset with a child and threw the child's shoe across the classroom, a teacher slapped a child twice, and a staff member yelled at another staff member in front of children and families. Correction: Children must not be subjected to physical or emotional harm, humiliation or threats. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023 Complaint Allegation : RP stated SM1 leaves infants to "cry it out" for close to or over an hour with no attempts to soothe infants. - FOUNDED

Corrected Corrected by Jul 24, 2023

Marked corrected in the state record.

7.702.62.B.3 · Staff must investigate whenever children cry, scream, or appear to withdraw and must try to verbally or physically soothe the child. When putting infants to sleep, staff may allow for a period of no longer than ten (10) minutes without verbally or physically soothing the child to enable the infant to try to self soothe and fall asleep.

Identified through several staff statements that children will be left crying and upset to self soothe for at least 20 minutes at nap time. Correction: Children must not allowed to cry for longer than 10 minutes without verbal or physical soothing. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

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

7.702.31.A · At the time of enrollment, and upon amendments to policies and procedures, the center must give the parent(s)/guardian(s) the center’s policies and procedures and provide the opportunity to ask questions. Written copies must be available either electronically or in hard copy. The center must obtain a signed document stating that the parent(s)/guardian(s) have received the policies and procedures, and by signing the policies and procedures document, the parent(s)/guardian(s) agree to follow, accept the conditions of, and give authorization and approval for the activities described in the policies and procedures.

Observed the centers policies and procedures to state that daily electronic notes will be sent to families. Identified through staff statements that information in the daily notes is incorrect and falsified. Correction: The centers policies and procedures must be implemented, and, followed and families must receive true and correct information. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Marked corrected in the state record.

7.702.62.C.19 · When staff place infants in approved sleeping equipment for sleep, they must check to ensure that the temperature in the room is comfortable for a lightly clothed adult, check the infants to ensure that they are comfortably clothed (not overheated or sweaty), and that bibs, necklaces, and garments with ties or hoods are removed.

Identified through several staff statements that it is very hot and uncomfortable for them in the infant classrooms. Identified that children and staff are hot and sweaty with red cheeks. Correction: Classrooms with sleeping infants must be at a comfortable temperature. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: physical safety. 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 statements that staff member 1 has left the classroom leaving groups of children unsupervised on multiple occasions. Correction: Children must be directly supervised at all times. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: supervision. 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

The daily sheet in the older infants classroom and observed a staff member alone with 6 children for approximately 15 minutes on 7.24.2023. Identified through several staff statements that staff member 1 has left the classroom out of ratio on multiple occasions. Correction: Staff to child ratio must be maintained at all times. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: ratio. Marked corrected in the state record.

7.702.41.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 children's diapers are not changed in the early morning in the younger infant classroom, children then move to the older infants' classroom with soiled diapers posing a potential health and safety concern. Correction: All staff must demonstrate knowledgeable, decision-making, judgment, and concern for children. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023 ________________________________________________

Corrected Corrected by Jul 24, 2023

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

7.701.53.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 receiving such information report or cause a report to be made of such fact to the state hotline, county department of human or social services or local law enforcement agency.

Identified through several staff statements that staff member 1 roughly pat's childrens back to put the to sleep, staff member 2 slapped an infant on the head twice, staff member 3 became upset and threw a child's shoe acorss FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ the classroom, and a member of the admin team yelled at a staff member in front of children and families. Correction: The staff members did not call the County Department to report the suspected abuse and neglect posing a potential safety hazard. Correct immediately by 7.24.2023, and submit a written statement of compliance to the Specialist by 7.31.2023. Correct by 07/24/2023

Corrected Corrected by Jul 24, 2023

Category: physical safety. 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.

A small dice, a small stamp, and small interlocking blocks (observed the dice and stamp on the teacher's shelf, and children playing with the blocks at the table) in the pathways preschool classroom accessible to children under the age of three and posing a potential safety hazard. Correction: Choking hazards must be inaccessible to children. Corrected at the time of the inspection, the Director removed the items from within the classroom. No response is required. Correct by 07/12/2023

Corrected Corrected by Jul 12, 2023

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