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

In the Toddler 2 classroom, observed an unlocked drawer with baby wipes and diaper creams labeled "keep out of reach of children" accessible to children. Correction: Immediately, items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of the visit. The assistant director locked the drawer making the baby wipes and diaper creams inaccessible to children. No response is required. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

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

Reviewed 14 staff files and observed that the following staff members were missing a successfully completed Out of State background check and were identified to have unsupervised access to children: Aynius M. and Raejah G-R. 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 Anyius M. and Raejah G-R. have reviewed the powerpoint within 24 hours. Corrected at the time of the visit. The director combined classrooms and relocated a staff member with a full set of background checks to supervise the staff members. Submit documentation of Out of State clearance letters for staff members Aynius M. and Raejah G-R. with written response to the Specialist. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: supervision. 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 14 staff files and observed that Ashley Y.'s TRAILS background check was expired. Correction: Immediately, All individuals requiring a background check must review Navigating the Background Check Investigation Unit's (BIU) Webpage powerpoint. Submit verification that staff member Ashley Y. has reviewed the powerpoint within 24 hours. Submit documentation of TRAILS clearance letter for staff member Ashley Y. with written response to the Specialist. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: background checks. 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. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________

Reviewed 14 staff files and observed that the folowing staff members were missing documentation of a health statement signed by a physician or other health care provider and identified that they have been employed for longer than 30 days: Anyius M, Raejah G-R, and Stephanie Z. Correction: Within 30 days, all staff members must submit to the center a medical statements signed and dated by a physician or other health care provider. Subsequent self-reported health histories must be submitted annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 08/22/2025

Corrected Corrected by Aug 22, 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 14 staff files and observed that Aynius M. was missing documentation of a current First Aid/CPR training and identified that they have been employed for longer than 30 days. Correction: Within 30 days, all employees caring for children, not requried by rule to be certified in First Aid/CPR must complete the First Aid/CPR module and must be renewed every 2 years. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 08/22/2025

Corrected Corrected by Aug 22, 2025

Category: recordkeeping. 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 and observed that the following staff members were missing documentation of a current abuse prevention training and identified that they have been employed for longer than 30 days: Patricia R and Aynius M. Correction: Immediately, all employees and regular volunteers must be complete the abuse prevention training within 30 days of employment and annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: recordkeeping. 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 10 children's files and observed that 1 child was missing documentation of an immunization status. FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ Correction: Immediately, parents/guardians must submit documentation of an immunization status at the time of admission. Submit a written statement of compliance to the Licensing Specialist. Correct by 07/23/2025

Corrected Corrected by Jul 23, 2025

Category: health medication. 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 Intermediate 2 classroom, observed wipes on the paper towel dispenser accessible to children. Correction: Immediately, diaper change supplies must be inaccessible to children. Corrected at the time of the visit. The regional manager moved the wipes to a higher shelf making them inaccessible to children. No response is required. Correct by 08/27/2024

Corrected Corrected by Aug 27, 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 14 staff files and observed that Patricia R. was missing documentation of a current Standard Precautions training. The training on file expired on 2/14/2024. Correction: Immediately, all staff must complete a Standard Precautions training prior to working with children and annually. Submit documentation and a written statement of compliance to the Licensing Specialist. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

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 Intermediate 2 classroom, observed a bucket of sunscreens labeled "keep out of reach of children" on a low shelf accessible to children. Correction: Immediately, items labeled "keep out of reach of children" must be inaccessible to children. Corrected at the time of the visit. The regional manager moved the sunscreens to a locked cabinet making them inaccesible to children. No

Open Not marked corrected in the state record

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 12 children's files and observed that 5 children under the age of 2 years old were missing documentation of a current health statement. Correction: Within 30 days, health statements for children under 2 years old must be updated as required by AAP Recommendations. Submit a statement of compliance to the Licensing Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

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

2.219.B.4 · Health statements for children over two (2) years of age to seven (7) years of age must be updated in accordance with the American Academy of Pediatrics Recommendations for Preventive Pediatric Health Care schedule FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ for routine well child exams.

Reviewed 12 children's files and observed that 3 children between the ages of 2 and 7 years old were missing documentation of a current health statement. Correction: Within 30 days, health statements for children between the ages of 2 and 7 years old must be updated in accordance with the AAP Recommendations. Submit a written statement of compliance to the Licensing Specialist. Correct by 09/26/2024

Corrected Corrected by Sep 26, 2024

Category: health medication. 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 12 children's files and observed that 1 child was missing documentation of immunizations. Correction: Immediately, parents/guardians must provide documentation of immunization status to the center prior to or on the first day of admission. Submit a statement of compliance to the Licensing Specialist. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: health medication. 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 FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 drill logs and observed that no tornado drill was completed in July 2024 and that there have been no lockdown drills for the 2024 year. Correction: Immediately, emergency drills must be completed within the required time frames. Submit a written statement of compliance to the Licensing Specialist. Correct by 08/27/2024

Corrected Corrected by Aug 27, 2024

Category: recordkeeping. Marked corrected in the state record.

7.702.5.C.5 · The individual health care plan must be updated at least every twelve (12) months from the date of the initial plan and as changes occur. The plan must include all information needed to care for the child, must be signed by the health care provider, parent(s)/guardian(s) and must include, but not be limited to, the following:

Reviewed all medications and observed one child with an expired health care plan. Correction: The individual health care plan must be updated at least every twelve months for the date of the initial plan and as changes occur. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: health medication. 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.

On the older preschool playground, observed a gap that was approximately 1 inch between slide and the play structure causing a potential hazard to children. Correction: All outdoor equipment must be sturdy, safe and free of hazards. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

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

7.701.100.F.2 · . Emergency drills, lockdown and active shooter on premises drills must be held at least FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ 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 drill log and observed a Tornado drill was not documented for the month of September. Correction: Tornado drills must be held monthly from March to October. Submit a written response of compliance to specialist. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: recordkeeping. 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 15 staff files and observed Mary, Karen N and Austun D to be missing documentation of medical statement signed and dated by a physician. Correction: Obtain documentation of a medical statement for staff signed and dated by a physician. Correct by 11/03/2023

Corrected Corrected by Nov 3, 2023

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

7.701.33.D · . Each owner or employee, who is eighteen (18) years of age or older, of a facility or agency must submit to CBI a complete set of fingerprints to obtain any criminal record held by the CBI and FBI. 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 FBI clear letter, must be maintained at the home, center, facility, or agency and must be available for review upon request by a Licensing Specialist.

Reviewed 15 staff files and observed Austun to be missing documentation of a CBI clearance letter. Austun does have FBI clearance letter in file. Correction: Immediately obtain documentation of CBI clearance letter for staff member. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

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

7.702.34.B.4 · The center must maintain and update annually and upon changes, a record on each child that includes: A copy of the child’s health statement completed by a health care provider.

Reviewed 6 child files and observed one child to be missing documentation of a current health statement completed by a health care provider. Correction: Obtain a current health statement for child. Correct by 11/03/2023

Corrected Corrected by Nov 3, 2023

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

7.702.35.A.2 · A record must be maintained, either written or electronic, for each staff member that includes the following: Verification of qualifications and training.

Reviewed 15 staff files and observed Veronica to be missing documentation of ECT qualifications. Correction: A record must be maintained, either written or electronic for each staff members that includes verification of qualifications. Correct by 10/03/2023

Corrected Corrected by Oct 3, 2023

Category: recordkeeping. Marked corrected in the state record.