2.224.B.1 · An individualized diet and feeding schedule must be provided according to a written plan submitted by the parent or by the child's physician with the knowledge and consent of the parent. A change of diet and schedule must be noted on each child's daily activity schedule and posted in an area clearly visible to the staff.

Identified through staff statements that CH1 individualized diet and feeding schedule was not being followed by the staff members. Correction: An individualized diet and feeding schedule must be provided according to a written plan submitted by the parent. Submit a written response of compliance to the specialist. Correct by 04/08/2025 ________________________________________________

Corrected Corrected by Apr 8, 2025

Marked corrected in the state record.

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

In the EP2 classroom observed wipes on a low table labeled "keep out of reach of children" accessible to to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. ****Corrected at the time of inspection, the teacher removed the wipes from the table making the the wipes inaccessible to children. Correct by 08/02/2024

Corrected Corrected by Aug 2, 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 Toddler Classroom observed diaper cream, in a low drawer accessible to children labeled "keep out of children". Also in the Kindergarten Classroom observed sunscreen labeled "keep out of children" in a clear bag hanging on the hook accessible to children. Correction: Items labeled "keep out of reach of children" must be inaccessible to children. ****Corrected at time of inspection, Assistant Director removed all items labeled "keep out of reach of children" to a bin and put in a high cabinet making the items inaccessible to children. Correct by 07/12/2024

Corrected Corrected by Jul 12, 2024

Marked corrected in the state record.

2.224.A.1 · All meals and snacks provided by the center must meet current United States Department of Agriculture (USDA), Child and Adult Care Food Program (CACFP) meal pattern guidance and requirements published by the USDA Food Nutrition Service at https://www.cacfp.org/meal-pattern-guidance/ (April 2016) and 7 C.F.R. sections 210.10 and 226.20 (July 1, 2022), herein incorporated by reference. No later editions or amendments are incorporated These regulations are available at no cost from the USDA Food Nutrition Service at https://www.ecfr.gov. 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. and be offered at suitable intervals not more than three (3) hours apart. Children who are at the center for more than four (4) hours, day or evening, must be offered a meal. Arrangements must be made for feeding children who are in care before 6 a.m. or after 6 p.m.

In the Preschool Classroom observed children eating oatmeal during morning snack with water. After reviewing menu posted only oatmeal was posted on the menu. Correction: All meals and snacks provided by the center must meet current USDA requirement. *****Corrected at time of inspection, cook provided fruit to the classrooms to meet USDA requirements. No response is required. Correct by 06/20/2024

Corrected Corrected by Jun 20, 2024

Category: nutrition. Marked corrected in the state record.

2.227.C.7 · The required staff to child ratio must be maintained at all times

In the Preschool classroom Kavitha stepped out of the classroom on to the playground closing the door behind her to grab snow. Leaving Vrushali alone supervising 19 children ages 3 years to 3.5 years of age for approximately 30-45 seconds. Correction: Maintain staff to child ratios at all times. Submit a written response of compliance to specialist. Correct by 03/25/2024

Corrected Corrected by Mar 25, 2024

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 two staff statements that CH1 did seek medical attention after sustaining two potential injuries. Facility did report the injury that accored on 3/6/24 within the required time frame, however the other injury that accord on or around 2/21/24 was not reported to the Department. Correction: Within 24 hours excluding weekends and holidays of the occurrence of a critical incident at the facility or within

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

2.223.D.5.a.1 · Cots or pads must be spaced at least two (2) feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic, and free of hazards.

In the Preschool A and Pre K beds were spaced out less than 2 feet apart. Correction: Cots and pads must be spaced at least two feet apart on all sides during rest time. Children must have a safe area in which to rest that is easily supervised, out of the path of traffic and free of hazards. ****Corrected at time of inspection, teachers re arranged the cots in the classroom, providing more space in between the cots. No response is required. Correct by 01/11/2024

Corrected Corrected by Jan 11, 2024

Category: supervision. Marked corrected in the state record.

7.702.46.A.7 · There must be assigned at least one (1) qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. A Director may be the assigned teacher for one (1) group of children.

Aubrey, Amber, Milvia, Jyoti, and Vrushali to be acting as an Early Childhood Teacher at the time of inspection. After reviewing staff files, specialist observed all staff members to be missing qualifications. Correction: There must be assigned at least one qualified Early Childhood Teacher supervising each group of children. Immediately correct and submit documentation with a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: supervision. Marked corrected in the state record.

7.702.42.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 25 staff files and observed Elise and Milvia to be missing documentation of safe sleep training. Correction: Obtain documentation of safe sleep training for staff. Immediately correct and submit documentation with a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.701.32.D.1.a · . For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, requests must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children.

Specialist reviewed 25 staff files and observed Milvia, Jody, Jyoti, Vrushali, Jeanette, Alicia, Dana, Susmita, Alicia R, Kylie P, Kylie H, Alexia, Brittney, Bitts and Samina to be missing documentation of TRAILS clearance. Correction: For all individuals whose activities involve the care or supervision of children or who have unsupervised access to children, request must be submitted and successfully completed prior to caring for children or allowing unsupervised access to children. Immediately correct and submit documentation with a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: supervision. Marked corrected in the state record.

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Specialist reviewed 25 staff files, observed Milvia, Jennifer, Elise, Denise, Seema, Kylie H to be missing documentation of CBI clearance. Milvia, Elise, Denise, Seema and Kylie H to be missing documentation of FBI clearance. Correction: Criminal background check request must be submitted and successfully completed prior to an individual caring for children or allowing the individual unsupervised access to children in child care centers. Immediately correct and submit documentation with a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: supervision. Marked corrected in the state record.

7.701.53.A · . A child care facility must require each staff member of the facility to read and sign a statement clearly defining child abuse and neglect pursuant to state law and outlining the staff member's personal responsibility to report all incidents of child abuse or neglect according to state law.

Reviewed 25 staff files and observed Jasmine to be missing documentation of acknowledgment that staff member read and signed a statement clearly defining child abuse and neglect. Correction: Obtain documentation for staff member. Immediately correct and submit a written statement of compliance.

Open Not marked corrected in the state record

Open / not marked corrected.

7.702.42.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 25 staff files and observed Jyoti and Jasmine to be missing documentation of child abuse prevention training. Correction: Obtain documentation of child abuse prevention training for all staff. Correct and submit documentation with a written statement of compliance. Correct by 10/13/2023

Corrected Corrected by Oct 13, 2023

Category: recordkeeping. Marked corrected in the state record.

7.702.51.B.5 · In the case medication needs to be given on an ongoing, long-term basis, the authorization and consent forms must be reauthorized on an at least annual basis. Any changes in the original medication authorization require a new written order by the prescribing practitioner and a change in the prescription label.

Specialist reviewed all medications and observed two expired health care plans. Correction: Obtain documentation of current health care plan for all children. Immediately correct and submit a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

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

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Reviewed 25 staff files observed Milvia and Jyoti to be missing current documentation of standard precautions training. Correction: Obtain current documentation of standard precautions training for all staff. Immediately correct and submit documentation with a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: ratio. Marked corrected in the state record.

7.701.100.A · . Prior to caring for children, all staff must complete a State Department-approved training in emergency and disaster preparedness. For seasonal children's resident camp programs, operating no more than 90 days per calendar year, at least one on site director must be trained in the State Department-approved training

Reviewed 25 staff files observed Elise and Amber to be missing documentation of a State Department-approved training in emergency and disaster preparedness. Correction: Obtain documentation of State Department-approved training in emergency and disaster preparedness. Immediately correct and submit documentation with a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 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 25 staff files observed Jennifer and Jasmine to be missing documentation of a medical statement. Correction: Obtain documentation of medical statement for all staff. Correct and submit a written statement of compliance. Correct by 10/13/2023

Corrected Corrected by Oct 13, 2023

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

7.701.33.J.1.a.b.c · 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-aged child care facilities, family child care homes, and qualified exempt provider homes: a. State criminal history check b. State sex offender FAX 303-866-4453 Phone 303-866-5948 ________________________________________________ registry check c. State abuse and neglect registry check

Reviewed 25 staff files and observed Samina, Dana, Denise, Susmita, Jasmine, Kavitha, Seema to be missing documentation of Out of State clearance. Correction: Obtain documentation of Out of State clearance letter for all staff. Immediately correct and submit documentation with a written statement of compliance. Correct by 09/13/2023

Corrected Corrected by Sep 13, 2023

Category: supervision. 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 13 child files observed 4 child files to have an expired health statement and 1 child file to be missing documentation of a health statement. Correction: Obtain documentation of current health statement for all children. Correct and submit a written statement of compliance. Correct by 10/13/2023

Corrected Corrected by Oct 13, 2023

Category: ratio. Marked corrected in the state record.

7.701.33.D.4.a · . Criminal background check requests must be submitted and 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-aged child care facilities, family child care homes, and qualified exempt provider homes.

Identified through SM1 file, SM1 was lacking CBI and FBI clearance letters. SM1 was caring for children unsupervised. Correction: Criminal background checks need to be submit and successfully completed prior to an individual caring for

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

7.702.34.B.1 · The center must maintain and update annually and upon changes, a record on each child that includes: A written record of any serious accident, illness, or injury occurring during care must be retained in each child's record, with a copy provided to the parent(s)/guardian(s).

Identified through staff statements facility did not complete a written report of incidents regarding CH1. Correction: A written record of any serious accident, illness or injury occurring during care must be retained in each child's record, with a copy provided to the parents. Immediately correct and submit a written response of compliance. Correct by 09/08/2023 Stage II Licensing Concern : SM2 observed SM1 grab CH1 and did not report to facility or county as a mandated reporter - FOUNDED No violations related to the Stage II Investigation. Stage II Licensing Concern :

Corrected Corrected by Sep 8, 2023

Category: recordkeeping. 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 staff statements that 2 staff members observed SM1 grabbing CH1 causing injury and did not report incident to county. Correction: Any staff member that suspects abuse or neglect must report the incident. Immediately correct and submit a written statement of compliance. Correct by 09/08/2023

Corrected Corrected by Sep 8, 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.

Identified the facility failed to report an incident as required by statue and licensing regulations within the required time frames. Correction: Any incident involving the county must be reported to licensing within 24 hours. Immediately correct and submit a written response of compliance. Correct by 09/08/2023 Stage II Licensing Concern : SM1 grabbed CH1 wrist causing CH1 to be injured - FOUNDED

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.702.64.C · The Director must not use, or permit a staff person or child to use, corporal or other harsh punishment.

Identified through staff statements that SM1 grabbed CH1 twice on 2 separate occasions on the same day, causing an injury to CH1. Correction: Director must not use, or permit a staff person or child to use, corporal or other harsh punishment. Immediately correct and submit a written response of compliance Correct by 09/08/2023 Stage II Licensing Concern : SM1 file and trainings were not completed by required time frames. - FOUNDED

Corrected Corrected by Sep 8, 2023

Marked corrected in the state record.

7.702.42.B · All staff must complete a Department-approved Standard Precautions training that meets current Occupational Safety and Health Administration (OSHA) requirements prior to working with children. This training must be renewed annually and will be counted towards ongoing professional development.

Identified after reviewing SM1 file, SM1 did not complete standard precautions training prior to working with children. Correction: All staff must complete standard precautions training prior to working with children. Immediately correct and submit a written response of compliance. Correct by 09/08/2023 Stage II Licensing Concern : SM1 background checks were not completed by required time frame - FOUNDED

Corrected Corrected by Sep 8, 2023

Category: ratio. Marked corrected in the state record.

7.702.46.A.7 · There must be assigned at least one (1) qualified Early Childhood Teacher supervising each group of children unless otherwise specified in rules. A Director may be the assigned teacher for one (1) group of children.

Identified through staff files and staff statements that SM1, SM2 and SM3 are lacking ECT qualifications and were in acting roles as ECTs. Correction: There must be assigned at least one qualified Early Childhood Teacher supervising each group of children. Immediately correct and submit a written statement of compliance. Correct by 09/08/2023 ________________________________________________ Stage II Licensing Concern : PreK Classroom out of ratio on several occasions - UNFOUNDED ________________________________________________

Corrected Corrected by Sep 8, 2023

Category: supervision. Marked corrected in the state record.