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

At the time of the visit, the bathroom light in the Pre-K classroom would not turn on. The switch to turn on the bathroom light is located in the pantry, which is in a separate room, located outside of the Pre-k classroom. Correction: Immediately, ( 12/5/2025), the building must be maintained in a safe condition. Submit a written statement of compliance by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Marked corrected in the state record.

2.216.B.1.a · The infant program must have an infant program supervisor who meets at least one (1) of the following qualifications:

At the time of the visit, observed two assistant teachers to be working in the infant classroom, without an infant supervisor. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, (12/5/2025), the infant program must have an infant program supervisor. **Corrected at the time of the visit when the program director stepped into the infant classroom. Submit a written statement of future compliance by 12/12/2025. Correct by 12/05/2025 ________________________________________________

Corrected Corrected by Dec 5, 2025

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.

At the time of the visit, observed the Pre-k teacher aggressively throw a child on their back, into the snow. Observed the Pre-k teacher pick the child up out of the snow by the front of the child's jacket. Observed the Pre-k teacher to restrain the child and carry the child to the corner of the outside of the building, while the child was resisting. Observed the Pre-k teacher to aggressively force the child down to sit on a cold, snow covered concrete slab. When the child tried to stand, observed the Pre-k teacher force the child to sit back down. Observed the Pre-k teacher allow another child to throw snow at the child that was forced to sit in the corner. Observed the Pre-k teacher yell at the child twice to "get up". Observed the Pre-k teacher to kneel down and have their face inches from the crying child's face and speak to the child using aggressive facial and body language. Observed the Pre-k teacher walk away from the child while the child was hysterically crying. Correction: Immediately, ( 12/5/2025), all staff must demonstrate knowledgeable decision-making and concern for the well-being of children. Submit a written statement of compliance by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Marked corrected in the state record.

2.225.A · Guidance used at the center must be appropriate to the development of the child and is used as an opportunity to teach children social-emotional skills, such as self-regulation, problem-solving, and empathy for others.

At the time of the visit, observed the Pre-k teacher to aggressively force a child to sit in a corner, outside on a cold, snow covered concrete slab. When the child tried to stand up, the Pre-k teacher physically forced the child to sit back down. Correction: Immediately, ( 12/5/2025), guidance at the center must be appropriate to the development of the child. Submit a written statement of compliance by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Marked corrected in the state record.

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

At the time of the visit, observed the Pre-k teacher to aggressively throw a child on their back into the snow and aggressively force the child onto a hard, cold, concrete slab. Observed the Pre-k teacher to yell at the child twice to "get up". Observed the Pre-k teacher to be directly in a child's face, raising their voice and using aggressive facial and body language. Correction: Immediately, ( 12/5/2025), children must not be subjected to physical or emotional harm. Submit documentation and a written statement of compliance by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

Marked corrected in the state record.

2.225.H · Any form of restraint is not permitted.

At the time of the visit, observed the Pre-k teacher to restrain a child by carrying the child by the child's waist to another part of the playground. While the teacher was carrying the child, the child was crying and trying to get out of the grasp of the Pre-k teacher. Correction: Immediately, ( 12/5/2025), any form of restraint is not permitted. Submit a written statement of compliance by 12/12/2025. Correct by 12/05/2025

Corrected Corrected by Dec 5, 2025

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

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products;

In the Preschool and Young Toddler classroom, diapers were in an unlocked cabinet. In the Toddler classroom wipes were in the bathroom on a low shelf, diapers were under the sink in an unlocked cabinet and diapers and wipes were in an unlocked cabinet under the changing table, accessible to children. Correction: Immediately, diaper supplies must be stored in areas inaccessible to children. Corrected at the time, the director locked the cabinets. Submit a written statement of future compliance by 3/5/2025. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

Marked corrected in the state record.

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

In the Infant classroom, items were stored under the evacuation cribs. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, evacuation equipment must not have anything stored under. Corrected at the time of visit, the teacher removed the items. Submit a written statement of future compliance by 3/5/2025. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

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

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In the Preschool and Toddler classroooms, personal bags were stored in an unlocked cabinet accessible to children. Correction: Immediately, personal bags must be inaccessible to children. Corrected at the time of visit, the director locked the cabinets. Submit a written statement of future compliance by 3/5/2025. Correct by 02/26/2025

Corrected Corrected by Feb 26, 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.

Reviewed 6 staff files. Observed Elizabeth R. lacking a current standard precautions training. Correction: Immediately ensure all staff complete a Department-approved standard precautions training prior to working with children. Submit documentation and a written statement of compliance by 3/5/2025. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. Marked corrected in the state record.

2.120.I · Every five (5) years, all child abuse and neglect inquiry background checks must be renewed by resubmitting an inquiry form and current fee to the Department for processing. An updated clearance letter or verification of the submission of the inquiry form must be obtained before five (5) years from the date reflected on the current clearance letter.

Reviewed 6 staff files. Observed Cynthia K., Sarah D., and Elizabeth R., with expired TRAILS clearance letter. 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: background checks. Open / not marked corrected.

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 logs. Observed last fire drill was completed 5/18/2024. The last lock down drill was 8/30/2024 and the last tornado drill was completed on 4/16/2024. Correction: Immediately ensure emergency drills are completed monthly for fire drills, quarterly for lock down drills and tornado drills are monthly from March-October. Submit a written statement of compliance by 3/5/2025. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

Category: recordkeeping. 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. Observed 5 children lacking current authorization for emergency medical care. Correction: Immediately ensure all children files have a current signed emergency medical authorization. Submit a written statement of compliance by 3/5/2024. Correct by 02/26/2025

Corrected Corrected by Feb 26, 2025

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

2.229.R.7 · A variety of material and equipment from the following categories must be available: Music

In the Owl classroom, musical instruments were not available to children. Correction: Immediately, musical instruments must be available to the children at all times. Submit a written statement of compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: physical safety. 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, staff member 1 and staff member 2 were yelling in the classroom while children were present. Correction: Immediately, staff must demonstrate knowledgeable decision making and judgment for the proper care and well-being of children. Submit a written statement of compliance by 7/29/2024 Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

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

Reviewed the facility's policies and procedures. Identified staff members did not follow the policies and procedures regarding appropriate behavior between staff members. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: The written policies and procedures must be followed. Submit a written statement of compliance by 7/29/2024. Correct by 07/22/2024 ________________________________________________ ________________________________________________

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

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

In the Fawn classroom, a loose sheet was on the mattress containing stains. There was not a child in the crib at the time of visit. Correction: Immediately, cribs must have clean and properly fitted sheets. Corrected at the time of visit, the assistant director removed the sheet and replaced it with a clean, fitted sheet. Submit a written statement of future compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

2.237.H · In rooms used by children, all electrical outlets that are accessible to children must have protective covers, or safety outlets must be installed.

In the Owl classroom, a power strip next to the air purifier was missing outlet covers. Correction: Immediately, outlets must have a protective cover. Corrected at the time of visit, the assistant director removed the power strip. Submit a written statement of future compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

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

In the Owl classroom, sunscreen labeled "keep out of reach of children" was in an unlocked cabinet. On the counter, by the children's sink, soap labeled "keep out of reach of children" was accessible to children. Correction: Immediately, items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of visit, the assistant director locked the cabinet and removed the soap, making it inaccessible to children. Submit a

Open Not marked corrected in the state record

Open / not marked corrected.

2.230.B · Indoor and outdoor equipment, materials, and furnishings must be sturdy, safe, and free of hazards.

In the Owl classroom, next to the air purifier and next to the fish tank, cords were accessible to children, causing a potential hazard. Correction: Immediately, all indoor equipment must be free of hazards. Corrected at the time of visit, the assistant director and teacher removed the cords, making them inaccessible to children. Submit a written statement of future compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.237.D · Volatile substances such as gasoline, kerosene, fuel oil, oil-based paints, firearms, explosives, and other hazardous items must not be stored in any area of the building used for childcare.

In the Owl classroom, a personal bag was in an unlocked cabinet, accessible to children. Correction: Immediately, personal bags must be inaccessible to children at all times. Corrected at the time of visit, the assistant director locked the cabinet, making it inaccessible to children. Submit a written statement of future compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

2.222.A.1.b · All diaper change areas must: Have a place inaccessible to children for storing all diaper change supplies and disinfecting solutions and products; FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

In the Owl classroom, diapers were in an unlocked cabinet under the counter, accesssible to children. In the Owl bathroom, wipes were on a low shelf, accessible to children. Correction: Immediately, diaper supplies must have a place inaccesible to children, for storing. Corrected at the time of visit, the assistant director locked the cabinet and placed the wipes on a high shelf, making them inaccessible to children. Submit a written statement of future compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Marked corrected in the state record.

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the Porcupine classroom, the staff stated there were 8 children, then corrected to 9 children, however there were 10 children in attendance. Correction: Immediately, all staff must be aware of how many children are in attendance. Submit a written statement of compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.211.B · Staff and children's records must be available, upon request, to authorized personnel of the Department.

Reviewed 5 staff files. Observed Isabella M. lacking a personnel file. Correction: Immediately, staff files must be available upon request. Submit a written statement of compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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.

The playground equipment exceeding eighteen (18) inches does not have a resilient surfacing of six (6) inches. This violation was previously cited on 5/15/2024 Correction: Immediately, all climbing equipment eighteen (18) inches or higher must have a resilient surfacing of at least six (6) inches. Submit a written statement of compliance by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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

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.

Reviewed 5 staff files. Observed Isabella H., hired 6/6/2023, missing CBI and FBI clearance letters. Isabella FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ was working with children at the time of visit. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Isabella M. has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearance letter for staff member Isabella M. with written response to Specialist by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 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 5 staff files. Observed Isabella H., hired 6/6/2023, missing documentation of a TRAILS application submission. Isabella was working with children at the time of visit. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Isabella M. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS letter for staff member Isabella M. with written response to Specialist by 7/29/2024. Correct by 07/22/2024

Corrected Corrected by Jul 22, 2024

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.

Observed playground equipment higher than 18" did not have reslient surfacing of 6" or more. Correction: All climbing equipment 18" or higher must have resilient surfacing of 6" or higher. Submit a written statement of compliance by 6/15/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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

2.223.A.2 · The time a child arrives and leaves the center each day must be recorded. Staff members must complete written attendance verification periodically throughout the day, including during transitions.

In the Toddler A classroom, the attendance verification form was reviewed at 12:47 p.m. and had not been updated since 9 a.m. Correction: Immediately, written attendance verification must be completed periodically throughout the day. Submit a written statement of compliance by 6/15/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

Category: recordkeeping. 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 13 staff files. Observed Elizabeth R., hired 4/14/2014, missing current documentation of a safe sleep training. Correction: Immediately, a Department-approved safe sleep training must be renewed annually. Submit documentation and a written statement of compliance by 6/15/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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

2.121.D.5 · Every five (5) years, requests for FBI criminal record checks must be renewed by completing the fingerprint process at an approved vendor. An updated clearance letter or verification of the submission of the request must be obtained prior to five (5) years from the date reflected on the current clearance letter.

Reviewed 13 staff files. Observed Cynthia K. having an expired CBI and FBI clearance letter dated 2018. Correction: All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Cynthia K. has reviewed the powerpoint within 24 hours. Submit documentation of CBI and FBI clearnace letters for staff member Cynthia K. with written response to Specialist by 6/15/2024. Correct by 05/15/2024

Corrected Corrected by May 15, 2024

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