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

In the Tiny Masters classroom, sunscreen labeled "keep out of reach of children" was in an unlocked drawer in the bathroom, accesssible to children. Correction: Immediately, items labeled "keep out of reach of children" must be inaccessible to children. Submit a written statement of compliance by 1/2/2025. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

In the Tiny Masters classroom, loose plastic bags were in an unlocked drawer in the bathroom, accessible to children. Correction: Immediately, loose plastic bags must be stored in areas inaccessible to children. Submit a written statement of compliance by 1/2/2025. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

Marked corrected in the state record.

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

In the Tiny Learners classroom, chairs were stacked 4 high. In the Tin Professors classroom, chairs were stacked 5 high, causing a potential hazard. Correction: Immediately, indoor furnishings must be free of hazards. Submit a written statement of compliance by

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

2.223.D.5.a · If preschool-age children are in care for longer than five (5) hours, the center must provide at least a thirty (30) minute rest period meeting the following: A firm cot or two (2) inch mat with a sheet and blanket, or other suitable covering, must be provided for each child;

In the Tiny Masters classroom, mats were less than two (2) inches thick. Correction: Immediately, children must be provided with mats two (2) inches thick. Submit a written statement of compliance by 1/2/2025. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

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 14 staff files. Observed Mayra V., hired 10/7/2024; Sydnie C., hired 5/21/2023; Yesenia N., hired 7/28/2023; Mirna O., hired 9/30/2024; Patricia P., hired 10/1/2024; Jacyln M., hired 8/20/2024; Ali B., hired 1/3/2022; and Imylia G., hired 3/3/2024 lacking a health form signed by a physician. Correction: Review all staff files. Within 30 days of employment, staff must have a signed medical statement from a physician. Submit a written statement of compliance by 1/2/2025. Correct by 01/02/2025

Corrected Corrected by Jan 2, 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 14 staff files. Observed LaRae B, hired 1/3/2022 and Mayra V., hired 10/7/2024 lacking current FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ documentation of a child abuse prevention training. Correction: Review all staff files. Within 30 days of employment, all staff must complete a Department-approved training about child abuse prevention and must renew annually. Submit documentation and a written statement of compliance by 1/2/2025. Correct by 01/02/2025

Corrected Corrected by Jan 2, 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 14 staff files. Observed Katrina G. hired on 2/1/2023 as the assistant director, lacking documentation of a Department-approved training: Working with an Early Childhood Mental Health Consultant. Correction: Review all staff files. Within 90 days of employment, all directors and assistant directors must complete a Department-approved training: Working with an Early Childhood Mental Health Consultant. Submit documentation and a written statement of compliance by 1/2/2025. Correct by 01/02/2025

Corrected Corrected by Jan 2, 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 14 staff files. Observed Katrina G. hired on 2/1/2023 as the assistant director, lacking documentation of a Department-approved training: Introduction to Child Care Health Consultation. Correction: Review all staff files. Within 90 days of employment, all directors and assistant directors must complete a Department-approved training: Introduction to Child Care Health Consultation. Submit documentation and a written

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

2.216.C.2 · Staff aides must be at least sixteen (16) years of age, must work directly under the supervision of the director or a toddler early childhood teacher, and must have completed eight (8) hours of orientation at the toddler program.

Reviewed 14 staff files. Observed Sydnie C., hired 5/21/2024 working in the toddler classroom and lacking a toddler orientation. Correction: Staff aides must complete eight (8) hours of orientation at the toddler program. Submit a written statement of compliance by 1/2/2025. Correct by 12/02/2024

Corrected Corrected by Dec 2, 2024

Category: supervision. Marked corrected in the state record.

2.229.G · Loose plastic bags must be stored in areas inaccessible to children.

In the Tiny Learners classroom, under the diaper changing table in an unlocked cabinet, loose plastic bags were accessible to children. In the Tiny Hands classroom, in an unclocked cabinet under the sink, loose plastic bags were accessible to children. Correction: Immediately, loose plastic bags must be stored in areas inaccessible to children. Corrected at the time of visit the owner placed a child lock on the cabinets, making them inaccessible to children. Submit a written statement of future compliance by 2/5/2024 Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Marked corrected in the state record.

2.229.F · Glitter must not be used with children under three (3) years of age.

In the Tiny Masters classroom, glitter was on a shelf accessible to children under the age of 3 years old. Correction: Immediately, glitter must not be used with children under three (3) years of age. Corrected at the time of visit, the director placed the glitter on a high shelf, inaccessible to children. Submit a written statement of future compliance by

Open Not marked corrected in the state record

Open / not marked corrected.

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

In the Tiny Professors classroom, bleach water was on the paper towel dispenser, 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 teacher placed the bleach water in a cabinet, inaccessible to children. Submit a written statement of future compliance by 2/5/2024. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

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 Tiny Learners classroom, diapers and wipes were in an unlocked cabinet under the diaper changing table, accessible to children. In the Tiny Hands classroom, diapers, wipes and diaper cream were in an unlocked cabinet under the diaper changing table, accessible to children. In the Tiny Masters classroom, gloves and wipes were in the bathroom, accessible to children. Correction: Immediately, all diaper change areas must have a place inaccessible to children for storing supplies. Corrected at the time of visit, the owner placed a child lock on the cabinets, making the supplies inaccessible to children. Submit a written statement of future compliance by 2/5/2024. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Marked corrected in the state record.

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

In the Tiny Tots classroom, chairs were stacked 4 high, causing a potential hazard. In the Tiny Learners classroom, chairs were stacked 4 and 5 high, causing a potential hazard. In the Tiny Masters classroom, a fireplace with sharp concrete edges on the lower section of the fireplace ledge causing a potential hazard. Correction: Immediately, all indoor equipement and furnishings must be safe and free of hazards. Corrected at the time of visit, the teachers unstacked the chairs. Submit a written statement of compliance by 2/5/2024. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Category: physical safety. 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 emergency drill logs. Observed missing fire drills from January, February, June, August, October and December. Observed missing tornado drills from March, May, September and October and observed missing Lockdown drill from all 4 quarters of 2023. Correction: Immediately, emergency drill logs must be held monthly for fire drills. Tornado drills must be held monthly from March to October and lockdown drills must be held at least quarterly. Submit a written statement of compliance by 2/5/2024. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

Category: recordkeeping. Marked corrected in the state record.

2.213.N · Within thirty (30) calendar days of employment and annually, all staff responsible for the collection, review, and maintenance of the child immunizations records must complete the Colorado Department of Public Health and Environment immunization course.

Reviewed 15 staff files. Observed Ali B. missing current documentation of a Public Health and Environment Immunization course. Correction: Immediately, all staff responsible for the collection, review and maintenance of the child immunization records must complete the Colorado Department of Public Health and Environment immunization course. Submit documentation and a written statement of compliance by 2/5/2024. Correct by 01/22/2024

Corrected Corrected by Jan 22, 2024

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